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Home My WebLink About0145695-HVAC (furnace & a/c) CITY OF OSHKOSH No 145695 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 316 W 11TH AVE Owner SCOTT J /MELANIE A HUNT Create Date 05/03/2011 Contractor CUSTOM HEATING & COOLING Category 502 - Residential -Both Plan Inspector Nicole Krahn Fuel Lf Gas [ Oil LJ Electric Li Solar I J Solid System n New 121 Replace ❑ Other U Forced Air u Radiant u Steam u A/C ❑ Vent Electric U Hot Water L Suppl. u Con. Burner Chimney Type 0 Chimney A O Chimney B O Direct Vent • Not Applicable Heat Loss 0 As Approved O Existing • Not Applicable Value BTU Rate 0 As Per Plan 0 Variable • Other Value Use /Nature SFR / REPLACE FURNACE AND A/C, EIV SIGNED BY HOEHNE ELECTRIC * *check #10755 of Work Fees: Valuation $5,600.00 Plan Approval $0.00 Permit Fee Paid $94.00 Issued By: Date 05/03/2011 ❑ Permit Voided Parcel Id # 0903610000 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 1503 S MAIN ST OSHKOSH WI 54902 -6911 Telephone Number (920) 235 -7263 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. R E 01; City of Oshkosh Division of Inspection Services MAY 0 3 2011 C 111.1111- 111 P.O. Box 1130 Oshkosh, WI 54903 -1130 C' i a. f j Phone (920) 236 -5050 CCMMv Y Fax (920) 236 -5084 INS€ C 1 0JHKE J --1 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 fl ** 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 // JOB ADDRESS / �4 OWNER d CONTRACTOR gar CHECK e1 ALL APPLICABLE USE CATEGORY Single Family ❑Duplex ❑Multi - Family ❑Rental El Commercial ❑Industrial FUEL Gas ❑Electric ❑Solid SYSTEM ❑New replace ❑Oil ❑Solar ❑Other TYPE •Worced Air DRadiant ❑Steam DA/C ❑Vent DElectric DHot Water DSuppl. ❑Con. Burner IS CHIMNEY BEING LINED ❑No I8 {es - 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 DESCRIP_ / SCOPE OF LL WORK BEING DONE LL VALUE (Including labor and materials) $ :3 O ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) 07/07 City of Oshkosh Division of Inspection Services 215 Chinch Avenue PO Box 1130 Oshkosh WI 54903 -1130 Office 920.236 -5050 C ON THE WATER Fax 920-236-5084 Electric Installation Verification j I (We) f F��i (Electrical Contractor Name) (Address) (City) (State) (Zip Code) have been contracted to perform electric installation work for ( f0 W%c / v at of party contracted to) at the following address: �(D GC.� /1 . (Address 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 (house or the individual systems in a duplex or condominium), including required service electrical outlets, Other The value of this work is $ �d . I hereby verify this work will be performed by an employee of this company and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. '1"." 4 . / f + � f :s � fi ' / II, / 4,/, 1 . tare o 0 • mpany Officer) (Print Name of Officer) (Date)