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Home My WebLink About0126710-HVAC (furnace) G OSHKOSH ON THE WATER Job Address 1719 DOEMEL ST Contractor THOMPSON HEATING AND COOLING S CITY OF OSHKOSH No 126710 HV AC PERMIT - APPLlCA liON AND RECORD Owner JASON AlLlNDA L RUQNA Create Date 09/11/2007 Category 500 - Residential-Heating & Ventilating Plan UOil Fuel L!.LC3as ] System 0 New ~Forced Air I Wlectric ~ Chimney Type _--Chimney A Heat Loss IL As Approved BTU Rate rIE Per Plan U Electric J U Solar U Solid -J o Replace II ~her ~ U Radiant J U Steam I U AlC J U Vent J U Hot Water -J U~ U _ Suppl. . .~ Con. Burner J -.0 Chimney B OJ:~l!:~~~.L~__n___UJ'!Qt Applicable u. Existing______~ Not..APlJli~apJ~____._ =:J Q Variab~~______._Qi~~=~~=_=~_~=:~=_=~J --.J Value Value Use/Nature SFR / REPLACE 72,000 BTU FURNACE, EIVSlGNED BY TRUCK ELEC-TRIC-- of Work L mJ Fees: Valuati~~~O.OQ Issued By: ULLD- Plan Approval $0.00 Permit Fee Paid $32.50 Date 09/11/2007 o Permit Voided I Parcelld # 1514220000 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of 0 osh h s no authority to enforce easement restrictions of which it is not a party, if you perform the work described in t . permit a lication within an eas t, the City strongly urges the permit applicant to contact the easement holder(s) d. to e a y necessary appro s fore starting such activity. Signature Date 9j/~. 7 Address 901 OTTER OSHKOSH WI 54901 - 0 Telephone Number 920-426-3095 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 ~ OfHKOfH ON THF WATFR HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. - . . Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR Ifvou are a contractor participating in the Permit fee Account Svstem and have adequate funds. check here if vou want this vrocessed throwt!h vour account n ** Advisory - For applicable projects, an Electrical Installation Verifi<:ation (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. DATE t/; /)n JOB ADDRESS /7/1 fl()Rtfc:-L OWNER ~()r-J CONTRACTOR 'pld lt4J>~7'-..:> /k--l471 A--6; CHECK iii ALL APPLICABLE USE CATEGORY ~Single Family DDuplex DMulti-Family '~as DOH o Rental o Commercial o Industrial FUEL DElectric DSolid DSolar SYSTEM DNew o Other ~eplace TYPE pa1:orced Air o Radiant DSteam DAIC DVent DElectric DBot Water DSuppl. DCon. Burner IS CHIMNEY BEING LINED ~o DYes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE &himney A DChimney B DDirect Vent o Other HEAT LOSS ~s Approved DExisting DNot Applicable BTU RATE DAs Per Plan DV ariable ~Other Value ~7? tfl7) DESCRIPTION I SCOPE OF ALL WORK BEING DONE 72f-7~(~ y:;~ VALUE (Including labor and materials) $ /4~.rv ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) r 12 V~ ~~,c:.- 07/07 _....~_.. ~_.- ..,.....__..__.. ''''<''_. ".~_,__,~~,,-___,,....c.___..._...___.....__.._.__.~_.___.~._... _,,_ " City of Oshkosh Division of Inspection Services 215 Church A venue PO Box 1130 Oshkosh WI 54903-] 130 Office 920-236-5050 Fax 920-236-5084 Electric Installation Verification I (We) T K(/~ ~~ (Electrical Contractor Name) (L/, ~ 4u~ U~S4 ,<<./~ $.c/9'o'-.. (Address) (City) (State) (Zip Code) have been contracted to perform electric installation work for '~If?')~^-.J ~-A<!'~ (Name of party contracted to) at the following address: ./;J"q U~G:-M~ (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) -~ Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser. Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. ReCoilllection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate pennit. Recoilllectioll or new circuit for the replacement of other permanently wired appliances! fixtures. New circuit for the addition of AlC to an individual dwelling unit (house or individual systems in a duplex or condominium), including required sel~,rice electrical outlets. Other The value of this work is $ /n . tI?J , I hereby verify this work will be performed by an employee of this company and further verify the reconnection ! installation will be done in compliance with manufacturer and Electric code reqmre e ~ft(J*j UcK (Print Name of Officer). (Date)