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Home My WebLink About0133778-HVC (furnace & a/c)CITY OF OSHKOSH No 133778 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 312 W 18TH AVE Owner BRIAN J/PATRICIA J HAVERTY Create Date 11/03/2008 Contractor SHEET METAL SERVICES Category 502 -Residential-Both Plan Fuel / Gas Oil Electric Solar Solid j System ^/ New j ^/ Replace j ^ Other j ~/ 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 Use/Nature FR /Replace furnace and install new a/c system. Will install chimney liner, of Work Fees: Valuation $8,367.00 Plan Approval $0.00 Issued By: ^ Permit Voided '~ EIV signed by homeowner. Permit Fee Paid $136.00 Date 11 /03/2008 Parcel id # 1404130000 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 secure any necessary approvals before starting such activity. Signature Date Address W482 BUTTERCUP CT Agent/Owner BERLIN WI 54923 -0 Telephone Number 920-290-2359 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. /~~45 ~ ~,,~, City of Oshlmsh Division of Iagpection Services _ -P.O. Box 1130 Osbiwsh, WI 54903-1130 `,. Pb~e (920} ?36-5050 - Faz (920) 236-5084 ~ - ~ON E WAT R HVAC PERMIT APPLtCATtON - An ~ after bold categories must ~ p~+uvided. - IncoaQtete applications w01 n,ut be processed. ~ `°'PP(s? and mss) ran be do City Hall, Roam 205 or mat7od to Inspecti~ Services, PO Box 1128, Oslilmsh WI 54903-1128. Caking work without perarit(s} w~l scsuit is fen being doubled or X100.00 plus the . nacmat permit ~ which ever is greater. OR - If vau are a cotttraetor Darticinatixe in t e Permit fee Accn..nt System and have adequate finds cbec,E here t ou a t t t oc. thr r ac uat HATE. ~d ` ~~-~ _ aoB AnnRESS 3 ~ ~Z ~ i ~' ~ A~~ __ _ _ - - O~NER ~lZi r~ ~ ~ N'~ v~ 23=y . CONTRACTOR S~/f~~r- ~l ~-~s-e. ~~ n ~~ c f-~ /~E~~,r_ ;~- <'c~x~~y- l t to C1~CK BALL APPLICABLE IISE CATEGORY Single Family DDuplex C1Multi Family FUEL ~as DElechic DSolid DAiI DSolar TYPE 1,~orced Air DRadiant DSteam ~A/C DRental DCommer+cial Dlndustrial ~New~- t~Replace F~.2n~z ~ DOthr.r went DElectric L`1Hot wabcr OSulrpL DCon. Burner TS BFII~iG LII~lED DNo Dyes - LIl~TER SIZE & lti~ANtJFACT~ Notre: Ail ahaIl be sized per ~ B1V's tieing vented. t~VIl~Y TYPE O A i3Chirtmey B Cll}irect Vent DOtlxr _ _ ..HEAT LOSS _ DAs Approved DExisting DNot Applicable BTU RATE DAs Per Plan DVariable DOther Value DESCRIPTION OF ALL WOBKBEII~iG DONE t= ~~a%vrrz~ /"~.e~ai~3rt r~7 r~^~T /~,tir~ ~1fi-atMS/ L i,ve~- O~~ p~cvY,~ V~~tJ` ~~//}~~.. 1~-r~J~x UN,~~u.~ /fr 77~ t3 77~-~ VALUE 5 S~ 6 ~. ~' ELECTRICAL CONTRACTOR ^ For applicable projects, an Electric Installation Verification form, signed by the E[ectriical C:ontractar, must be attached. If not attached or not applicable, a sepaFate IIeetrieal Ft~nit is rtquit~d. 9102 City ofOshlwsh Division of lu Services 215 Church Avenue 1?O Box 1130 Oshkosh WI 54903-1130 C Office 920-236-5050 N THE WATEt F~ 924236-5084 Electric Installation Verification I(We) ~2i~ l~cll~r~r/ (print homeowner(s) name) the homeowner(s) of r3 I Z +ti' / p~ ~~r QS~ psrt (address where work is to be performed) accept the responsibility for performing the electrical work as stated below for the property listed above. The nature of the work consists of (Check One or Describe the Nature of Work) Reconnection or~v circuit for replacement Heating Plant 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 master electrician. Other The value of this work is $ G~c7~ ° eti I hereby verify this work will be performed by me and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. Homeowner(s) Signature (Date)