HomeMy WebLinkAbout0126935-HVAC (furnace; a/c)
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OSHKOSH
ON THE WATER
Job Address 1316 WESTERN ST
CITY OF OSHKOSH
No
126935
HVAC PERMIT -APPLICATION ANO.RECORD
Owner ROGER AlGENA L MILLER
Create Date 09/25/2007
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
Plan
Contractor MARK WEBER HEATING & COOLING IN
Fuel ~ Gas I J Oil
System D New I
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A C) Chimney B
Heat Loss () As Approved () Existing
BTU Rate () As Per Plan () Variable
U Solar I Solid
D Other
~ AlC U Vent
U Con. Burner
() Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFR / REPLACE EXISTING FURNACE AND AlC UNIT, EIVSIGNED BY ELECTRICAL CONSTRUCTION SERVICES LLC (GREG DAVIS)
of Work "debt acct
Fees: valuafld';l "', $3,800.00
Issued By: ()YTh-
- . "-'
Plan Approval
$0.00
Permit Fee Paid
$67.00
Date 09/25/2007
D Permit Voided I
Parcelld # 1210680000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
1075 ISLAND ESTATE CT
OSHKOSH
WI 54901 -1341 Telephone Number 235-1523
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. 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
EI
~
OfHKOfH
ON THE WATER
SEP 2 4 2007
HV AC PERMIT ARfi!'!RIQ~T~N
All infonnation after bol&:~f'iermoo\Uii.~
Incomplete appli~GmIuao6fiB"f&fiS;s.eavISION
. 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
I .ou are a contractor artici atin in the Permit ee Account S stem and have ade uate unds check here
ou want this rocessed throu h our account
JOBADDRESS 15/b (.;;e:;~,J
OWNER ~ .~U-e?L-e:n
..CONTRACTORrtM/ ~ ~nAL
DATE q/;?d?
CHECK ~ ALL APPLICABLE
USE CATEGORY
~ngle Family DDuplex DMulti-Family
DRental
o Commercial
DIndustrial .
FUEL
,J2kias
OOil
OElectric DSolid
o Solar
SYSTEM
ONew
DOther
~eplace
TYPE
~orced Air DRadiant DSteam ~C OVent DElectric OHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LlNEn)SNo DYes - LINER SIZE & MANUFACTURER
Note: All chiinneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChimney A dChirnney B ~irect Vent DOther
HEAT LOSS DAs Approved DExisting DNot Applicable
BTURATE OAsPerPlan OVariable o Other Value
J)ESCRIPTION OF ALL WORK BEING DONE ~~~/~.:eR,;snA...t. h~AJ ~
-iYJ/) A-t9-(l~I).. l,)rnt'~~, . . ..
VALUE .$ 'S ~ffi ~DD
ELECTRICAL CONTRACTOR ecq, ~cf,~1)~tS .
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02
City of Oshkosh
D;,'ision of Inspection Services
215 CbUfCh Avenue
PO Box 1130
OsIL~05h WI 54903.1130
Office 920.236-5050
Fax 920-236-5084
,
SEP 2 4 2007
COM DEPARTMENT OF
MUNITY DE
INSPECTION CERVIVEL?PMENT
Electric Installation Verification J CES DIVISION
I (We)
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l-' \ ''{ ('~ ~ ,>J.v..~ . '" .~(,,_'L,-0 \.}t \\~ '/<" ~:--')<;' '{ ).j, (""'O~"I
(Electrical Contractor Name)
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(City)
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\f~"..j.~')e #..
(Address)
(State)
(Zip Code)
have been contracted to perforn} electric installation work for 1'17V1 J{ ~~ l~ It..(.,.
(Name ofpmty contracted to)
at the following address: /3/6 ~SI-t:;~.Jd So r
(Address where work Viillbeperformed)
The nature of the work consists of: (Check One or Descrihe the Nature ofVvork)
~e
,
Reconnection or new circuit for replacement Heating Plant and/or Ale 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 rec~ptacies
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will require a separate permit.>
Reconnection or new circuit for the replacement of other pem1anently wired
appliances I fixtures.
New circuit for the addition of Ale to an individual dwelling unit (house or the
individual systems in a duplex'or condominium), including required service
electrical outlets.
Other
The value of this work is $ d1 $0 ~ Otl.
r hereby verify this work will be performed by an employee of this company and further verify
the reconncction / installation wiI! be done in compliance w'jth manufacturer and Electric. code
req UI rem ems.
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(Date)
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(Slgnatuf(;9f ~ompany Ofncer)
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(Print Name of Officer)
5/02