HomeMy WebLinkAbout0130643-HVAC (a/c)OSHKOSH
ON THE WATER
Job Address 1419 POWERS ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner CHRISTOPHER J ROMANOWICZ
No 130643
Create Date 06/17/2008
Contractor D & S HEATING AND COOLING 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. Burner
Chimney Type Chimne A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value
UselNature SFR /INSTALL NEW 3 TON A/C UNIT, EIV SIGNED BY BEEZ ELECTRIC **check #1038
of Work
i
_1
Fees: Valuation $4,448.00 Plan Approval $0.00 Permit Fee Paid $77.50
Issued By:
Date 06/17/2008
^ Permit Voided ~ Parcel Id # 1507460000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address W1418 TOWN HALL DR PULASKI WI 54162 - 7517 Telephone Number (920) 660-0097
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services ~~ ~'
P.O. Box 1130 V~®
Oshkosh, WI 54903-1130 '~-
Phone (920) 236-5050 ~(JN ~ s 2<7(7$ (~
Fax (920) 236-5084 DEPARTMENT pF O~I I~O
COMMUNITY p ON THE WATFR
HVAC PERMI~~R~II(~a41~~~MENT
All information after bold categories must be providedlS10N
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 adeguate funds check here
if you want this processed through your account I-'1
** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) most 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~
JOB ADDRESS.../ r~~ ~~nuil//~S S~
OWNER ~ o `I 4u/iC' ~
CONTRACTOR ~ ~,' l~
CHECK ~ ALL APPLICABLE
CATEGORY
Ingle Family ^Duplex ^Mult-Family ^Rental
^Commercial ^Industrial
FUEL ^Gas ^Electric ^Solid SYSTEM ^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 ,JfjDirect Vent OOther
HEAT LOSS DAs Approved ^Existing ^Not Applicable
BTU RATE ^As Per Plan ^Variable ^Other Value
DESC~tIPTION /SCOPE OF ALL WORK BEING DONE f ~ -5/~i ~/ ~U~ (:G~ /h
VALUE (Including labor and materials) $ 7~ 7 70`
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
o~~o~
05/27/2008. 13:11
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9202317255
c~ of ~>ahkoan
n~l~, er r~~d~, S~+v~ed
215 Ck:~sh A~ame
PO Hoa;1130
O+hko~h Wi 54903.1110
Office S~?b23GSOS0
F~ 9z~~-a3~-sons
BEEZ ELECTRIC
Electric Installation Ve~r~i~catiton
(1] (We) Beez Elec~aric, Inc.
2951 S. O;~kwood Rd. Oshkosh VVZ 54904
have been contractf:;d to perfotxtx electric installation work for D&S Heating & Cooling,
at the following address: 1419 Powers Street.
The nature of the work consists of : (Check One or Describe the Nature of Work)
PAGE 01
® ReconnE:chion or new circuit for replacement Heating Plant and/or A/C Condenser.
^ Reconnection or new circuit for replacement Electric Water Heater.
^ Reconns;:ction of the Service Entrance Cable, Meter Box, alterations to receptacles end
lighting fixtures due to siding / soffit installation. Note: New Service Entrance
Cables krill requite a separate permit.
^ Reconne:ction. or new circuit for other permanently wiured appliances /fixtures.
^ ~~' _.
The value of this wrf~ is $300.00
I hereby verify this ~I~vork wi11 be petfoz~ned by an employee of this company and further verify
the recoruaection / installation will be done in compliance with manufacturer and Electric code
requirements.
.~~"'~ -~/i Gary Eiesinger 5/27/2008
(Si star o omp:3ny ffitcer)