HomeMy WebLinkAbout0127539-HVAC (furnace; a/c)
G
OSHKOSH
ON THE WATER
Job Address 1245 N WESTFIELD ST
CITY OF OSHKOSH
No
127539
HV AC PERMIT - APPLICATION AND RECORD
Owner ROBERT J KELLEY
Create Date 10/29/2007
Contractor THOMPSON HEATING AND COOLING S
Category 502 - Residential-Both
Plan
Fuel l!::LGas U Oil ::J U Electric I U Solar U Solid
System 0 New __~ [?J Replace ~ D__Q.t~~~~~_~__J
~ Forced Air l U~~iant _J U~~~~J ~ AlC __~__J U_ Ve_~_____J
U_!=~~~==:J Utj~,,^,,-ater=J U_~uppl. ___=] O::~~()~~~I?~r~~J
Ch imney Type IT~!1~~__~_D_ ~.i~~y~~~==~=-----'_[)ir~ctY~~C:-=.=~-=D~~()_t}.~~~_~~Ie;::-=-=-l
Heat Loss __ As Approved ----0 E~i~!l~g ==_=~_===D!'l~I~Rf?]~~~I~~==:=] Value _____________
BTU Rate ITAsPer pla~=:===~D_~~able-_=~=_===__==~.=QIher---~-=_~::_:===j Value ____~____~~~Qgg
Use/Nature iSFR / Replace furnace and a/c.
of Work
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EIV provided-byT Ruck ETeanc~-----------------~----------------- ._--~---l
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Fees: Valuation
$5,000.00
~-:;
Plan Approval
$0.00
Permit Fee Paid ___m____$ll.5.00
Date 10/29/2007
Issued By:
D PermitVoid~
Parcelld # 1611830000
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
AgenVOwner
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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THE WATER
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 doub~ed or $100.00 plus the
normal permit fee, which ever is greater.
OR
Ify'ou are a contractor participatinf! in the Permit fee Account System and have adequate funds. check here
if yOU want this processed through your account n '
DATE
/crJ?-9 )'7
/ .
JOB ADDRESS 12 Is I.LjG:-~7R'C7-c4)
'OWNER /!c~t(,t;;:7cy I 1&15
? "/ li '
-CONTRACTOR '71ft tlzft?''0^?J
;:k~i7/<-(y
CHECK ~ ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex DMulti-Family
DRental
o Commercial
OIndustrial '
FUEL
tQGas
DOil
DElectric DSolid
o Solar
SYSTEM
DNew
DOther
~Replace
TYPE
KJtorcedAir DRadiant DSteam ;~NC DVent DElectric OHotWater OSuppl. DCon.Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE
Note: All chimneys shall be sized per theBTU's being vented.
CHIMNEY TYPE DChimney A OChimney B rnhirect Vent DOther
HEA TLOSS }~s Approved DExisting D~ot Applicabl<;.. .,..,~ f'\
BTU RATE DAs Per Plan DV ariable ~Other Value ,7>/ /'71)
.t~L~ Af' . C/V~~
;' / ' -.
& MANUFACTURER
DESCRIPTION OF ALL WORK BEING DONE
VALUE ;2 .$,_.~ ,/'77
ELECTRICAL CONTRAcroR . .dd - 61:.r412..,~ . .
;8ZFor applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
(attached. Ifnot attached or not applicabl.e, a separate Electrical Permit is required.
9/02
City of Oshkosh
Division ofln...c.;pection Services
215 Chw'eh Avenue
PO Box 1130
OSllkosh \!/] 54903-1130
Office 920-236-5050
Fax 920-236-5084
OJHKGH
ON THE WAT::R
Electric Installation Verification
ICWe)
2k
, '-
~--e51l!A.(
(Electrical Contractor Name)
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for -gI.#r~~~
f{ " t ,
(Name of party contracted to)
at the following address: ./.Zf!s- ~:r/H~D
(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 NC Condenser.
Recollnection or ne\v circuit for replacement Electric vVater Heater or power vented
water heater.
RecOlmection 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 pelmit.
Reconnection or nevI circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of NC to an individual dwelling unit (house or
individual systems in a duplex or condominium), including required
electrical outlets.
Other
The value of this work i.s $ 72" '1/1
(Print Name of Officer)
Ji~7
I r
(Date)