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Home My WebLink About0143893-HVAC (furnace) I CITY OF OSHKOSH No 143893 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 300 DALE AVE Owner JENNIFER R CONSIDINE Create Date 11/01/2010 Contractor ALANNE CLIMATE CONTROL LLC Category 500 - Residential- Heating & Ventilating Plan Fuel f_j Gas ❑ Oil ❑ Electric Li Solar ❑ Solid System ❑ New 1 121 Replace ❑ Other u Forced Air ❑ Radiant J Steam ❑ A/C J Vent 1 J Electric Li Hot Water H Suppl. J Con. Burner Chimney Type K ) Chimney A 0 Chimney B 0 Direct Vent • Not Applicable J Heat Loss ( ) As Approved 0 ) Existing • Not Applicable Value BTU Rate 0 As Per Plan () Variable • Other Value Use /Nature SFR / Replace furnace. EIV signed by Yourr Electric. of Work Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $40.00 Issued By: �La... Date 11/01/2010 ❑ Permit Voided Parcel Id # 0403710000 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 enfor5e 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 secu - ssary appals before starting such activity. Signature i t Date / (- ( ` /C) / i 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 Phone (920) 236 -5050 O�I I�O�I I Fax (920) 236-5084 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 f ** 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 � ^ l a JOB ADDRESS L OWNER ICA21 - TeN,N∎cre CONTRACTOR '1 c-17 N(" CL1044TC CP C CHECK H ALL APPLICABLE Up-CATEGORY Di Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial FUEL _12Tas DElectric ❑Solid SYSTEM ❑New DReplace ❑Oil El Solar DOther T orced Air DRadiant El Steam DA/C ❑Vent DElectric ❑Hot Water ❑Suppl. DCon. 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 DDirect Vent DOther HEAT LOSS DAs Approved DExisting ❑Not Applicable BTU RATE DAs Per Plan ❑Variable DOther Value DESCRIPTION / SCOPE OF ALL WORK BEING DONE , r c( 1 ✓) CI et— VALUE (Including labor and materials) $ z 000 -- ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) (004 g L LCLTu iC 07/07 ,t 29 10 01:57p Joe Hicks 920 779 4439 p.1 i {j crya/Oshkosh 1 Division of Inspecting) s 1 zts Church Amos eo Bon 1130 Oshkosh ail 54903-1130 • 1 . 1 Off= 920-236.5050 Fee 420- 2465084 1 Electric Installation Verificatioi j I (We) y( Uf( EL2d1/7L L_LG ,, ) I. • : (Electrical Contractor Name fir Homeowner's darn `) :O. 13 n (Address) (City) (Stat4) (Zip Code) accept the responsibility to perform the electric work as stated below, • the ¶ ollowing address: Ili . • (Address where work will be performed)! I 1 �I The nature of the work consists of: (Check One or Describe the Natur of ork) , Reconnection or new circuit for replacement Heating plant as p A/C Condenser. Reconnection or new circuit for replacement Electric Water He 'ter or power vented water heater. Reconnection ofthe Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Noted New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replacement of other permalnently wired appliances / fixtures. j New circuit for the addition of to an individual dwelli lg it, including required service electrical outlets. Note: Homeowner can my do their own electric on a single family owner occupied home.:WO* on condominium, • duplex, rental, or multi -use building would require a licens Electrical Contractor. Other r i'(1)--/ (idtKiny : I The value of this work is $ [ v :i 1 ,, 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 reciinnc / installation will be done in compliance with manufacturer and Electric code requirement. 2 t hifir ( 51 ..1 of Company Officer or Homeowner) r (Print Name) : I (lam) 1 i } Received Time Oct. 29. 2010 1:52PM No.3497 1 1 . 07/01