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Home My WebLink About0131535-HVAC (boiler) CITY OF OSHKOSH No 131535 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1511 COOLIDGE AVE Owner DOROTHY A ESLIEN Create Date 07/15/2008 Contractor NAU HEATING AND COOLING LLC Category 500 -Residential-Heating & Ventilating Plan Fuel / Gas Oil Electric Solar -~ Solid System _ New _ __ __, [/I Replace _ _' n 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 FR /Replace boiler (due to flooding). EIV signed by ACE Electrical Services of Work Fees: Valuation $3,200.00 Plan Approval $0.00 Permit Fee Paid $58.00 Issued By: _ ~i~j~~l Date 07/15/2008 Permit Voided Parcel Id # 1603280200 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 pertorm 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 ure any nece~ry apwals before starting such activity. ~ / O Signature Date Agent/Owner Address 1420 PHEASANT CREEK DR OSHKOSH WI 54904 - 7452 Tele hone Number p (920) 231-6363 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 HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. Of HKO.lH ON THE WATER • 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 $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor DarticiDatinQ in the Permit fee Account Svstem and have adequate funds check here if you want this processed through your account n ** Advisory -For applicable projects, an Electrical Installation Verification (ElV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. DATE 7 " ~S- OFj' JOB 5ll p / ~ OWNER Ro%7er~' ~/e~[~n S~Ci CONTRACTOR / ~'aH !7~crf;„g ~ha( C~/,~ Q LL. C.. CHECK Q ALL APPLICABLE SE CATEGORY Single Family ^Duplex ^Multi-Family ^Rental ^Commercial FUEL ~GaS ^Electric ^Solid SYSTEM ^New ^Oil OSolar ^Other ^ Industrial l~Replace TYPE ^Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ~Iiot Water ^Suppl. ^Con. Burner IS CHIMNEY BEING LINED~No ^Yes -LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ^Chimney A ^Chimney B ^Direct Vent t70ther HEAT LOSS ^As Approved l$Existing ^Not Applicable BTU RATE ^As Per Plan OVariable ^Other Value DESCRIPTION /SCOPE OF ALL WORK BEING DONE Rey ~qC ~ /Joi'f/ do -~ ~~o~; ~a T VALUE (Including labor and materials) 3~ o iJ ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) /~C-e p~i1~-~Y j ~ ! S~ /icPS LLL o~~o~ City afUsC~ash Division of Inspection Services 215 Cbh: avmuao P(3 Bc~x I230 Qshkosh wl 54983-123Q ~' Ok~se 92fl-234.5450 ~w ~i~ Fax 9?0-236.5084 Elec#ric Installation Verification {Electrical Contractor Name or Homeowner's Name} ~~~~ {Address} ~ {City} (State} (Zip Cade) accept the responsibility to perform the electric work as stated below, at the. fallowing address: /S~~ ~~ ~ ~ e ~ ~~~~~ti , ~ s~~~Z {Address where work. will be performed} The nature of the work consists of: {Check One or Describe the Nature of Nark} Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. Reconnection or new circuit for replacement Electric V~ater Heater or power vented water heater. Reconnection of the Service Enhance Cable,llrieter Box, alterations to receptacles and lighting fixtures due to siding t soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replacement of other permanently wired appliances l fixtures. New circuit far the addition of AJC to an individual dwelling unit, including required service electrical outlets. Note: Harneawners can only da their awn electric an a single family owner occupied home. Work an a condominium, duplex, rental, or multi-use building w+aul~ require a l~c~d.Ee~tri~ai . , _.. . Contractor, Other eKJ The value of this work is $ 7.S I hereby verify this work will be performed in compliance with the License requirements of Section 21.22 of the Oshkosh Municipal cede and further verify the reconnection f installation will be done in compliance with manufacturer and Electric code requirements. ~~~~ 1~ ~~ ws ~s~~/ {Signature of Company {)ff~eer ar Homeowner} {Print. Name} ate}