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Home My WebLink About0145961-HVAC (furnace & a/c) 0 CITY OF OSHKOSH No 145961 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1430 CAMBRIDGE AVE Owner GREGORY A/AMANDA J HEWITT Create Date 05/18/2011 Contractor D & S HEATING AND COOLING Category 502 - Residential -Both Plan Inspector Nicole Krahn Fuel U Gas I LJ Oil LJ Electric U Solar LJ Solid System ❑ New n Replace ❑ Other u Forced Air Li Radiant u Steam u NC LJ Vent LJ Electric Li Hot Water 1 1 Suppl. I Con. Burner Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent 0 Not Applicable Heat Loss ID As Approved 0 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 Rick Steffens Electric. of Work Fees: Valuation $10,495.00 Plan Approval $0.00 Permit Fee Paid $168.00 Issued By: C)(7y� / Date 05/18/2011 ❑ Permit Voided I Parcel Id # 1311160000 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 W1418 TOWN HALL DR PULASKI WI 54162 - 7517 Telephone Number (920) 660 -0097 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 0_ HKO/H 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. / �j / ? / DATE --72 / / s // JOB ADDRESS / 7 3 0 Cc ,('/�, e 11/-e- OWNER ,G k- e.5 Q LC. ' RECEIVED CONTRACTOR /74S ,#e(7)4‘4,5 MAY 18 2011 CHECK ® ALL APPLICABLE DEPARTMENT OF COMMUNITY DEVELOPMENT USE CATEGORY INSPECTION SERVICES DIVISION Sin Family ❑Duplex ❑Multi- Family ❑Rental ❑Commercial ❑Industrial FUEL JGas ❑Electric ❑Solid SYSTEM ❑New ,'Replace ❑Oil ❑Solar ❑Other TYPE orced Air ❑Radiant ❑Steam A C ❑Vent ❑Electric [Mot Water DSuppl. ❑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 /2Q Ct Wr/gNC•�d / ;/\ VALUE (Including labor and materials) ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) if: ( - ��vl / /DQ:I.C� ( /` U X-4- ' 4 - °C 07/07 RECE IV ED MAY 18 2011 DEPARTMENT OF Ckzo6=UNITY DEVELOPMENT n' dtitA ge1WICES DIVISION 215 Church Avenue PO Box 1130 Oshkosh W1 54903 -1130 Office 920 -236 -5050 n wA Fax 920.236 -5084 Electric Installation Verification I (We) ' ` (� � ��'T 0_5 (Electrical Contractor Name or Homeowner's Name) /8 e:t) ci 37 A /6 (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: /, e. /fR /4 ,L/- • ( Kddress 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/. A/C Condenser. Reconnection or new circuit for replacement Electric Water Heate . .. • - ' ented 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 ` / f Need )4 "le/ av c iP /Vc f So nJI e The value of this work is $ 1/+" 3CO 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 reconnection / installation will be done in compliance with manufacturer and Electric code requirements. ' s,rs (Signature of Comp • y Offi . - • r meowner) (Print Name) (Date) 07/07