The URL can be used to link to this page

Home My WebLink About0142154-HVAC (a/c) (1) CITY OF OSHKOSH No 142154 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 834 HARMEL AVE Owner LORRAINE M EBERLE Create Date 07/19/2010 Contractor THOMPSON HEATING AND COOLING S Category 501 - Residential -Air Conditioning Plan Fuel [,. Gas U Oil Li Electric U Solar U Solid System 0 New I ❑ Replace n Other I Li Forced Air U Radiant ❑ Steam u NC U Vent _ J Electric U Hot Water U Suppl. U Con. Burner Chimney Type () Chimney A 0 Chimney B C) Direct Vent 0 Not Applicable Heat Loss ( ) As Approved () Existing • Not Applicable Value BTU Rate C) As Per Plan 0 Variable • Other Value Use /Nature SFR / INSTALL NEW A/C, EIV SIGNED BY T RUCK ELECTRIC * *check #2270 of Work Fees: Valuation $2,400.00 Plan Approval $0.00 Permit Fee Paid $46.00 Issued By: 31S.-- Date 07/21/2010 ❑ Permit Voided Parcel Id # 1412050000 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 Agent/Owner Address 901 OTTER AVE OSHKOSH WI 54901 - 5444 Telephone Number 920 -426 -3095 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 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 ri ** 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 �P /l (/J d JOB ADDRESS 23 K,4 (= t; OWNER CONTRACTOR l wp ti f - - `77 It/ CHECK Bf ALL APPLICABLE USE CATEGORY Elflingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial FUEL Bias ❑Electric ❑Solid SYSTEM New ❑Replace ❑Oil DSolar ❑Other TYPE DForced Air DRadiant El Steam ' ]A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. DCon. Burner IS CHIMNEY BEING LINED fklo ❑Yes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE DChimney 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 4py-> //- VALUE (Including labor and materials) $ o76,/r6 . ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) 07/07 Mob 24 01 00:40a Code Enforcement 920- 2 36 - 5084 p. City ofos6tusk Division ofho pec40e Services US Chink Arm ?O Bout 1130 Oshkosh Office S20-2364050 51 90130 Fax 920-236-30114 EIectric Installation Verification T(W 2 � w' er(s) name) the homeowner(s) of J ( where work is to be performed) accept the responsibility for performing the electrical work as s above. tated below for the property listed The nature of the work consists of (Chi One or Describe the Nature of Work) V Reconnection or new circuit for replacement Hewn Plant — Reconnection or new circuit for i acem for A/C ---.._ Reconnection of the �' � Electric Water Heater. Condenser. Service Entrance Cable, Meter Box and lighting fixtures due to siding / so , Note: alterations Service to receptacles Entrance Cables will � soffit installation Ne_ New Se - .. Reconnection or new circuit for other ate permit. Other permanently wired appliances / fixtures. The value of this work is $ / - ihereby verify this work will be instatlati � � ' I be done in compliance with by me and further verify the reconn manufacturer and Electric code ction / requirements. / 4114, 1 i'ill: digirlAP e