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Home My WebLink About0141483-HVAC (split heat pump) #14 CITY OF OSHKOSH No 141483 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1027 ALGOMA BLVD Owner LARRY R/PAMELA LANG Create Date 06/14/2010 Contractor ALANNE CLIMATE CONTROL LLC Category 502 - Residential -Both Plan Fuel 1 Gas ❑ Oil L) Electric Li Solar ❑ Solid System ❑ New n Replace n Other u Forced Air U Radiant ❑ Steam ❑ NC u Vent 1 Electric u Hot Water U Suppl. f 1 1 Con. Burner Chimney Type Direct Vent Not Applicable Heat Loss 1( ) As Approved 0 Existing • Not Applicable 1 Value BTU Rate 10 As Per Plan () Variable • Other Value Use /Nature SFR/ Installation of a split heat pump. of Work Fees: Valuation � - $7,139.00 Plan Approval $0.00 Permit Fee Paid $118.00 1 Issued By: //� Date 06/14/2010 "'VVV ❑ Permit Voided Parcel Id # 0506850000 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 taen�ce easement restrictions of which it is not a party, if you perform the work described in this permit aRpli -ti• , within an easemnt, the City strongly urges the permit applicant to contact the easement holder(s) and to secu • . - : fy before starting such activity. / Signatur= , Date ' /y'�O Agent/Owner Address 2971 SUNSET POINT LN OSHKOSH WI 54904 -1008 Telephone Number (920) 312 -1228 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 4 Phone (920) 236 -5050 Fax (920) 236 -5084 OJHKOJH ON THE WATER 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 If you are a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your 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. R DATE *6 / / f /G JOB ADDRESS 1 A C -r18 t�l, OWNER (-. L A x/70 CONTRACTOR LNYVN 6(, 1 rk), e4qt.i Canirgejt_ CHECK gi ALL APPLICABLE USy CATEGORY Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial FUEL ❑Gasctric ❑Solid SYSTEM ❑New ❑Replace ❑Oil ❑Solar ❑Other TYPE ❑Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot 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 ❑Other HEAT LOSS DAs Approved ❑Existing ❑Not Applicable BTU RATE DAs Per Plan ❑Variable ❑Other Value DESCRIPTION / SCOPE OF ALL WORK BEING DONE XeL klc 1 t o.,-140 igget VALUE (Including labor and materials) $ '7 rJ 5 ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) l Q L� LAC y2 ( C 07/07 09 10 11:03a Joe Hicks 920 779 4439 p.1 ofOabkoeh Dk siaa oflnspectioo Services 215 Gore! Avenue POBox1130 Oshkosh WI 54903 -1130 OR= 920- 23S-5050 H , , ., . Fax 920.136 -50U Electric Installation Verification 1 (W e) ki) i (Electrical Contractor N ame or Homeowner's Name) _1G BMX 311 Yh L kkE SW31 -0 31/ (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: JCL */ . fr k :■ t rL1t ' i *.I' (Address where ork 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 $ a Sr 5 CC I hereby verify this work will be performed in compliance with the License requirements of Section 11 - of the Oshkosh Municipal code and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. • ( of Company Officer or Homeowner) (Print Name) J (D ate) 07/07 Received Time Jun. 9. 2010 11:00AM No.1419