HomeMy WebLinkAbout0131631-HVAC (a/c)/~"~ CITY OF OSHKOSH No 131631
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address
1547 W 6TH AVE i
Owner WILLIAM C/KATHERINE L BOYCKS
Create Date 07/17/2008
Contractor MARK WEBER HEATIN G & COOLING IN ', Category 501 -Residential-Air Conditioning Plan
Fuel Gas Oil / Electric Solar Solid
System ^ New ~ j ^/ Replace ~ ^ Other _ _
Forced Air Radiant i Steam / A/C ~ Vent
Electric Hot Water' Suppl. Con. Burner
Chimney Type Chimney A Chimney B j Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable I Other Value
UselNature FR /REPLACE EXISTING A/C, EIV SIGNED BY ELECTRICAL CONSTRUCTION SERVICES LLC (Greg Davis) '"debt acct
of Work
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Fees: Valuation $1,900.00 Plan Approval $0.00 Permit Fee Paid
Issued By:
^ Permit Voided
$38.50
Date 07/17/2008
Parcelld # 0610850000
In the pertormance 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 1075 ISLAND ESTATE CT ;OSHKOSH WI 54901 -1341 Telephone Number 235-1523
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
JUL 17 2008 `,
DEPNRTMENT OF ~~
~ COMMUNITY DEVELOPMENT UJ N
INSPECTION SERVICES DIVISION ON THE WATFR
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, 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 - - - _
** Advisory -For applicable projects, an Electrical Installation Verification (E]V) 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 EN when such is required, will not be
processed for Permit Issuance and will be retarned for completion. `'
DATE ~ - I ~ ~~ a
JOB ADDRESS ~ J !t ~ /~ ~ ~~
OWNER ~ C~ t`5 ~d `~ ~1~~
CONTRACTOR J~'1 ~vl e-E'~ ~~~~"7'~,
CHECK 0 ALL APPLICABLE
USE CATEGORY ~i
~S.ingle Family DDuplex DMulti-Family DRental DCommercial DIndustrial
FUEL DGas ~ectric OSolid SYSTEM s'~ew ~eplace
^Oil ^Solar ^Other
TYPE
DForced Air ^Radiant ^Steam ~AlC ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ^No ^Yes -LINER SIZE & MANUFACTURER
Note: Al! chimneys shall be sized per the BTU's being vented.
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CHIMNEY TYPE ^Chimney A ^Chimney B ^Direct Vent ^Other
HEAT LOSS ^As Approved i ^Existing ^Not Applicable
BTU RATE ^As Per Plan i ^Variable ^Other Value
DESCRIPTION /SCOPE OF ALL WORK BEING DONE '~~G .~~1 S'1 ~'~
VALUE (Including labor and materials) ~' G 1 -` C7d •~
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
o~io~
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ci,y~roslao>n ',
13ivisian of inspection Services
215 cho~rh ,wenuc
PO Bay i 134
~~ Oshkosh NI 54943-tl34
Orfuc 924.233-1054
pN 1N w~ eK Faa 424-23G-SOS3
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Electric
Installation Verification
(Electrical Contractor Name)
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`'~, 'it ~i ~'' 1 t~.,s f r- i , :~ to t r. ~ ",as i .i... f ) '-~ i t-. r
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for ~'li¢yisl ~'ti~~h ~ ,
'; (Name of party contracted to)
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 andlor A/C Condenser.
Reconnection or neav 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 (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
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The value of this work is ~,~a~-~ (~____
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I hereby verify this work will be performed by an employee of this company and further verify
the reconnection /installation will be done in compliance with manufacturer and Electric code
requirements.
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_,3.T.:-may ">.,.-._.~ I, ~ e ~ ..~e~..-~~ ~. ?._~LS" ~~:r
(Silmature ref ',ompany ()fhcer) (Print i~latne of Officer) (Date)
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