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Home My WebLink About0126864-HVAC (furnace) o OSHKOSH ON THE WATER Job Address 1055 W 19TH AVE CITY OF OSHKOSH No 126864 HV AC PERMIT - APPLICATION AND RECORD Owner ROLLIN G/JOANNE NEUMANN Create Date 09/19/2007 Contractor THOM~~ATING AND COOLING S Category 500 - Residential-Heating & Ventilating Plan Fuel C?T~~~~__~ O:~-:::J U__Elect.!:I~~=_=~ U Solar ~_:::Ji U_~o!id -~=-=:=J System ~"!~~___~ [?J R~pla~________J Dg~be!_____________J 0" Forced Air:=] [LRad~~~!___J D-S~~~~~_=_~==:J CI~---:Ji D~~~C=~___I m1ec1rlc~ O:~i==~ IT~~_=~ U~~~ Chimney Type IT~~~ney A O~I1J~Y_~_-===':::'::'_.Qir~~!___-==~=O Not Applicable Heat Loss . As Approved _____=:0 Existing 0 Not ApplicClEl~~..J Value BTU Rate D As Per Plan 0 Variable - .-othe;r:-------I: Value Use/Nature SFR / REPLACE 60,000 BTU FURNACE, EIV SIGNED BY T RUCK ELECTRIC of Work i I Ii' I I ---~---j Fees: Valuation $1,850.00 Issued By: ~-r Plan Approval $0.00 Permit Fee Paid $38.50 Date 09/19/2007 o _!='.~r12i_t~?~d~~ Parcelld # 1311370000 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshk is'/Y"~ no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this ~...aWfi9ation within an eas t, the City strongly urges the permit applicant to contact the easement holder(s) and to ecur _ _ ecessary }pprf."Val fore starting such activity. _ _ ~ I J Signature {t1~e: / Date 11 /f / (J '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 ]fvou are a contractor varticivating in the Permit fee Account Svstem and have adequate funds. check here if vou want this processed through vour account n ** Advisory - For applicable projects, an Electrical Installation VerificatiQn (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. JOB ADDRESS / (}.5S: (P, /91'# k- OWNER M a / A..-/ /lI Ell#! /4-t"--l CONTRACTOR 71-kw?fo I-.J /kT7/V t} DATE 1/;r/07 CHECK 0 ALL APPLICABLE USE CATEGORY Osingle Family DDuplex DMulti-Family DRental o Commercial o Industrial FUEL ~s DOil DElectric DSolid DSolar SYSTEM DNew DOther ~eplace "!1PE tll<orced Air DRadiant DSteam DAlC DVent DElectric IS CHIMNEY BEING LINED ~o DYes - LINER SIZE Note: All chimneys shall be sized per the BTU's being vented. DHot Water DSuppl. DCon. Burner & MANUFACTURER CHIMNEY TYPE DChimney A DChimney B BPirect Vent DOther HEAT LOSS JFf.t.s Approved DExisting DNot Applicable / BTU RATE DAs Per Plan DVariable = Value --"~ DESCRIPTION / SCOPE OF ALL WORK BEING DONE~~ ~ ;/k"A/~~ VALUE (Including labor and materials) $ Jf~. trD , ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) 07/07 ~ OJHKOJH ON THE WATER City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 Oshkosh WI 54903-1130 Office 920-236-5050 Fax 920-236-5084 Electric Installation Verification I (We) ~d ~R../<:'- (Electrical Contractor Name) fJ:scJ tv~ (Address) (City) (State) (Zip Code) have been contracted to perform electric installation work for mOrn ~ C (Name of party contracted to at the following address: 1055 LV 197+l av.e. (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) K 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. Reconnection 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 permit. Reconnection 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 the individual systems in a duplex or condominium), including required serv'ic~ electrical outlets. Other The value of this work is $ J n ~. /b . , 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 requir ents. ~I€ Q.cK ~f ('I-, G7 ( rint Name of Officer) ( ate) 5/02 ;c. , .....0. ,-.L."-;