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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 I i 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. i 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~ ~~ i i 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 I Electric Installation Verification (Electrical Contractor Name) I ~ - t.. `'~, '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 i i I i The value of this work is ~,~a~-~ (~____ i 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. 4 t. ~~~s~a~ _,3.T.:-may ">.,.-._.~ I, ~ e ~ ..~e~..-~~ ~. ?._~LS" ~~:r (Silmature ref ',ompany ()fhcer) (Print i~latne of Officer) (Date) sioz