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HomeMy WebLinkAbout0130651-HVAC (furnace & a/c)', CITY OF OSHKOSH No 130651 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 651 W 10TH AVE Owner THOMAS J BINDER Create Date 06/16/2008 Contractor O'NEILL ENTERPRISES INC Category 502 -Residential-Both Plan Fuel / Gas 1 Oil Electric ~ Solar Solid Q System [] New ^/ Replace _ ~ ^ Other / Forced Air Radiant ~ Steam / A/C Vent Electric Hot Water Suppl. Con. Burner 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 60 000 , Use/Nature FR /Replace furnace & a/c. EIV signed by Shea Electric. **DEBIT ACCT**. of Work Fees: Valuation Issued By: Plan Approval $0.00 Permit Fee Paid $79.00 Date 06/17/2008 ', ^ Permit Voided Parcel Id # 1304040000 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 522 W 6TH AVE 'OSHKOSH WI 54902 -5916 Telephone Number 230-2007 (office) 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. 06/16/2008 08:34 FAX 19202302008 ONEILL ENTERPRISES 1~j004/005 city of oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920)236-5050 Fax (920)236-5084 • 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, Roorn 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 ** 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) 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 retained for completion. JOB ADDRESS `~ ~! W. ~~ ~ AV-G . OWNER ~~ ~~T'~f~I-ex -___-- _--- ~t1 Iw _ ll G'. 1 s _... _ ~ ~l. DATE " D 30 3 - ~y~ o CHECK ®ALL APPLICABLE USE CATEGORY ~ingle Family ^Duplex ^Multi-Family ^Rental FUEL as ^Electric ^Solid SYSTEM ~il ^Solar ^Commercial ^Industrial ^New Replace ^Other PE orced Air ^Radiant ^Steam ~1/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner IS CHIMNEY BEING LINED ~No ^Yes -LINER SIZE & MANUFACTURER Note: All chimneys shall be sized pe a BTU's being vented. CHIMNEY TYPE ^Chimney A ^Chimney B ~irect Vent ^Other HEAT LOSS ^As Approved x~sting gNot Applicable BTU RATE ^As Per Plan Variable ®Other Value ~~OD DESCRIPTION /SCOPE OF ALL WORK BEING DONE VALUE (Including labor and materials) $ ~ ~ t~0 ELECTRICAL CONTRACTOR (for projects'not requiring an EIV Form) S ~-}C~ E,~~-~C. o~/o~ Jun 17 2008 2:24PM Shea Electric & Comm, LLC 920-303-9410 ~' City of Oshkosh Division of Isupation Services 213 C6ucah Avenue !'O Box 1130 Oshkosh WI 54903-1130 Office 920-236-5030 H Fa 920.236-5084 Electric Installation Verification I (We) (Electrical Contractor Name or Homeowner's Name) p.2 (Address) (Ctty) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: (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 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, including required service electrical outlets. 1Vote: Homeowners can only do their own electric on a single family owner occupied hams. yYork on a condominium, duplex, rental, or multi-use building would require a licensed Electrical Contractor. ' Other The value of this work is $ o7~d, ~= I hereby verify this work will be performed in compliance with the License requirements of Section 11-22 of the Oshkosh Municipal code and further verify the reconnection /installation vyjl4l-be\done in compliance with manufacturer and Electric code requirements. _ ~ _ ~-/7~ (Print Name) (Date) o~ro~