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Home My WebLink About0130315-HVAC (a/c)CITY OF OSHKOSH OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1021 BUCHANAN AVE I Owner MICHAEL G MEIDUSUSAN T MILLER No 130315 Create Date 06/03/2008 Contractor THOMPSON HEATING AND COOLING S Category 501 -Residential-Air Conditioning Plan Fuel / Gas Oil Electric Solar Solid System ^/ New ~ ', ^ Replace ~ ^ Other Forced Air Radiant Steam / A/C Vent Electric Hot Water Suppl. Con. Bumer Chimney Type Chimney A Chimney B Direct Vent Not Applicable Heat Loss As Approved Existing Not Applicable Value BTU Rate As Per Plan Variable Other Value Use/Nature DUPLEX / ADD A/C (a/c unit with serve both tenants), EIV SIGNED BY T RUCK ELECTRIC **check #1806 of Work Fees: Valuation $2,200.00 Plan Approval $0.00 Permit Fee Paid $43.00 Issued By: ~l ~, Date 06/03/2008 ^ Permit Voided ~ Parcel Id # 1607710000 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 Address 901 OTTER AVE Agent/Owner '.OSHKOSH WI 54901 -5444 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 (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 Z OlHKO1H pN THE 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 If you are a contractor participating in the Permit fee Account Svstem and have adeauate funds check here if you want this processed through your account n ** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed tq 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 retarned for completion. DATE ~~z~~ CHECK E~1 ALL APPLICABLE USE CATEGORY ^Single Family Duplex ^Multi-Family ^Rental ^Commercial ^Industrial FUEL ~iaS ^Electric ^Solid' SYSTEM IY~New ^Replace ^Oil ^Solar ^Other TYPE ~' ^Forced Air ^Radiant ^Steam ~A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner IS CHIMNEY BEING LINED ~No ^Yes' -LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ^Chimney A ^Chimney B ^Direct Vent ^Other HEAT LOSS ^As Approved ^Existing ^Not Applicable BTU RATE ^As Per Plan ^Variable ^Other Value DESCRIPTION /SCOPE OF ALL WORK BEING DONE ~D~ ~~~ ~ vv VALUE (Including labor and materials) $ ~~ `~ ~ , ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) /t ~i'~-~ o~~o~ JOB ADDRESS ~~ /~UC:~~~~/,~~ City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 ~~ Oshkosh WI 54903-1130 ( 1~~~/ IIJ~V Office 920-236-sOSO ON THE WATER Fax 920-236-5084 ~, Electric Installation (Electrical Contractor Name) (Address) c~tT~-off ~f ~~ ~ ~ S~ 7a Z (City) (State) (Zip Code) have been contracted to perform electric installation work for `1~~R~/~ I~G~T7~-G-, , I, (Name of party contracted to) at the following address: 1~ The nature of the work consists o£ Verification (Address where work will be performed) (Check One or Describe the Nature of Work) _~ Reconnection or new circuit for replacement Heating Plant and/or A/C 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 A/C to an individual dwelling unit (house or the individual systems in a duplex or con.dorminilam), including required seraicc electrical outlets., Other The value of this work is $_,~v w 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 requi~rrlents. ~y z ~~ (Signa e o Company fficer) ~ (rint Name of Officer ~-t~ (Date sioz