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Home My WebLink About0132002-HVAC (furnace & a/c)OSHKOSH ON THE WATER Job Address 540 CEAPE AVE ', CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD Owner ALFRED L WOLFGRAM No 132002 Create Date 08/01/2008 Contractor ALANNE CLIMATE CONTROL LLC ! Category 502 -Residential-Both 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 Chimney B Direct Vent Not Applicable Heat Loss As Approved Existing Not Applicable Value BTU Rate As Per Plan Variable Other Value UselNature of Work Fees Issued By: Plan Approval ' $0.00 Permit Fee Paid $88.00 Date 08/04/2008 ^ Permit Voided Parcel Id # 0801440000 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 secur ,rr c _s approvals before. starting such activity. Signature _ Date ~~~~ ~' / ~ Agent/Owner Address 2971 SUNSET POINT LN OSHKOSH WI 54904 -1008 Telephone Number (920) 312-1228 i I 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 pertormed within two business days from the time the project is ready. I FR /REPLACE FURNACE AND A/C, EIV SIGNED BY BOWMAN ELECTRIC 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. O.IHKOf H ON THE WATFR • 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 participating in the Permit fee Account System and have adequate funds check here ~you want this processed through vour account n ** 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 ~ ~Z 3" UU JOB ADDRESS J ~~O (~AO~ rl~iU~ OWNER ,~t,~e.D W6L~~2,~^-~' CONTRACTOR ~ i,~/yiN L ~ ~ l ~ ~ ~~~L C.C C CHECK D ALL APPLICABLE USE CATEGORY ~Z]Single Family ^Duplex ^Multi-Family ' ^Rental ^Commercial ^Industrial FUEL bias ^Electric ^Solid SYSTEM ^New ^Replace ^Oil ^Solar ^Other T11Y__PE '', Dslkorced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. OCon. 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 OOther HEAT LOSS ^As Approved ^Existing ^Not Applicable BTU RATE ^As Per Plan ^Variable ^Other Value DESCRIPTION /SCOPE OF ALL WORK BEING DONE VALUE (Including labor and materials) $ J, l ~~ ELECTRICAL CONTRACTOR (for projects'not requiring an EIV Form) ~'-"nA/~/ ~i.CIC. o~~o~ City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 HK ~--I Oshkosh WI 54903-1130 Office 920-236-5050 ON THE WATER Fax 920-236-5084 Electric Installation Verification I (We) ~ c~ i ~. (Electrical Contractor Name or Homeowner's Name) ~~ ~ GJ, /~~ ~ ~~~ ~S ~- (,J~ Sy ~o~-- (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: 5`fd ~~~~ 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. Note: Homeowners can only do their own electric on a single family owner occupied home. Work on a condominium, duplex, rental, or multi-use building would require a licensed Electrical Contractor. Other The value of this work is $ 2~~ 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 will be done in compliance with manufacturer and Electric code requirements. ~~ ~ ~, w~~^ 7 3o f~ (Signature of Company Officer or Homeowner) (Print Name) (Date) 07/07