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Home My WebLink About0130628-HVAC (a/c)'', CITY OF OSHKOSH No 13os28 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 752 VINE AVE ~ Owner NATHAN T/HEATHER M SCHOONE Create Date 06/17/2008 Contractor OWNER ' 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 Chimney A Chimne B ' Direct Vent Not Applicable Heat Loss As Approved Existing ' Not Applicable Value BTU Rate IO As Per Plan Use/Nature of Work Value cenuai air, conaensor t~ compressor. Hn eiectncian wm oe doing the wiring. EIV sig Fees: Valuation $1,300.00 Plan Approval Issued By: ~/L~ $0.00 Permit Fee Paid $29.50 Date 06/17/2008 Permit Voided Parcelld # 0503000000 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 s, an a sary approvals before starting such activity. l Signature ~-;____ ' Date h // ~/~ Address 752 VINE AVE I~ Agent/Owner OSHKOSH WI 54901 -3664 Telephone Number To schedule inspections please call the Inspection Request line at 23s-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, W 154903-1 130 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. ~K~H ors rHF tv~~r~r • Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1 128. Commencing worl: 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 returned for completion. !, DATE JOB ADDRESS ~~~ ~l~l~ ~'~ OWNER ~.~~ C~IQ~~C-~~~'~- CONTRACTOR ~~.~,~.R-` CHECK Lf ALL APPLICABLE USE CATEGORY ~ingle Family ^Duplex ^Mnlti-Fatr~il~~ ^Rental ^Commercial ^Industrial FUEL ~ias ^Electric ^Solid SYSTEM ew ^Oil ^Solar ! ^Other 'i TYPE ^Forced Air ^Radiaut ^Steam ~~A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner IS CHIMNEY BEING LINED~Jo ^Yes - DINER SIZE, Note: All chimneys shall be sized per the BTU's being vented. & MANUFACTURER CHIMNEY TYPE ^Chimney A '~ ^Chimney B ^Direct Vent ^Other HEAT LOSS ^As Approved ', ^F,xisting ^Not Applicable BTU RATE ^As Per Plan ^Variable ^Other Value DESCRIPTION /SCOPE OF ALL WORK B~:ING DONE n~r~.l~.-,.. ~.7L~('an,~-, VALUE (Including labor and materials) $ ',__~ ELECTRICAL CONTRACTOR (tor projects not requiring an EIV Form) ~~ k~~i~~ o~/o~ City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 Oshkosh WI 54903-1130 ~1HK 1H Office 920-23G-5050 ON THE WATER Fc1X 920-23G-~084 Electric Installation Verification I (We) (Electrical Contractor Name or Homeowner's Name) ~ ~~ ~ (Address) ~~%~~. ~ Sit Rio ~ (City) (State) (Zip Code) accept the responsibility to perforill the electric work as stated below, at the following address: r (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 theService 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 nedv 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. Note: Homeowners can only do their own electric on a s~i~gle family owner occupied home. Work on a condominium, duplex, rental, ol~ i~zulti-z.~se building would require a licensed Electrical Contractor'. Other The value of this work is $ 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 l installation will be done in compliance with nlanufac~tu-er and Electric code requirements. ~ i v ~ `/ (Sig ature of Company Officer or Homeowner) Print Name) Date) 07/07