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)
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