HomeMy WebLinkAbout0146120-HVAC (furnace & a/c) l CITY OF OSHKOSH No 146120
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1135 LOCUST ST Owner JAMES D MCLAREN Create Date 05/31/2011
Contractor THOMPSON HEATING AND COOLING S Category 502 - Residential -Both Plan
Inspector
Fuel U Gas U Oil 1 Electric U Solar U Solid
System n New 0 Replace ] ❑ Other
u Forced Air u Radiant U Steam A/C _f Vent
Li Electric u Hot Water U Suppl. U Con. Burner
Chimney Type 0 Chimney A O Chimney B 0 Direct Vent 0 Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use /Nature SFR / Replace furnace, install ductwork and new a /c. EIV signed by T Ruck Electric.
of Work
Fees: Valuation $6,200.00 Plan Approval $0.00 Permit Fee Paid $103.00
Issued By: CCU Date 05/31/2011
❑ Permit Voided Parcel Id # 1611990300
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 OfHKOfH
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. f
/ DATE 5/b1 / ii
JOB ADD SS / //S �O C (-) S'7
OWNER ( —��
kt11 l�l e
CONTRACTOR / �� r � / 7 /C C
CHECK IZI ALL APPLICABLE
USE CATEGORY
[Mingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
FUEL L'Zias DElectric DSolid SYSTEM gillsTew ItifReplace
❑Oil DSolar DOther
TYPE
fitForced Air DRadiant ❑Steam DA/C ❑Vent DElectric ❑Hot Water ❑Suppl. DCon. Burner
IS CHIMNEY BEING LINED o ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per e BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B 1pirect Vent DOther
HEAT LOSS DAs Approved ❑Existing ❑Not Applicable
BTU RATE DAs Per Plan DVariable DOther Value 3� 677
DESCRIPTION / SCOPE OF ALL WORK BEING DONE u 4 • -L 1„ F ..
1—
VALUE (Including labor and materials) $ P
"2 ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) &' -
07/07
-) Cii of O ho i
N i s c i f In j ctioa Services Y 2 CI 'h Av..lue
PC'' 35 1!30
.� — J � Oshkosh 0 1003 -: ; 30
I ( 7i —R Office: 9:J -: :.< -5050
:?w *r a;n `H Fax 92 - 36 -5034
Electric Installation Verification
1(WWG f- '__1�6/e
-f Elect •ical Contractor Name)
(Address) - - - - -- (City) _ (State) 6644/ze,.....H
___,D144,1
have been contracted to { erforrn electric installation work for & //13_,__' (Name of party contracted to )
at the =J;Ioa,i
ng address: :!<.) 44"
(Address where work will be performed)
I. - le i _tt.re o' the war': consists .,f (Check One or Describe the Nature of Work)
�' C Urrles llOn or E'N t:i �- _
>for replacement Hi, tine p
R corrtectio i. cr _few circuit for replacement Electric: Water Heater or pound vented
water: to _ lic:ate_r.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and ligh ing f c ares due to siding / soffit installation. Note: New Service
E t since Cables will require a separate permit.
Zeconlie,ticn 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
ind vid 11 1 systems In a duplex or C417!lC rniniiir1l), including required d se,.
elec thcal outlets.
Other
The: vLIu of this �x�ork is I - (777 _ - - --
'I
1 h rat ` erif illis v ork. ;Till be , :er=orirzed by an employee of this company and filrther verily
rily
t iie rec prinectio / ir1sl l..atl will be done in compliance with manufacturer and Electric code
rte :tire v i cnts.