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HomeMy WebLinkAbout0146126-HVAC (a/c) CITY OF OSHKOSH No 146126 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 637 WAUGOO AVE Owner GRANT P PETERSON Create Date 05/31/2011 Contractor MARK WEBER HEATING & COOLING IN Category 501 - Residential -Air Conditioning Plan Inspector John Zarate Fuel LJ Gas U Oil ❑ Electric Li Solar 1 Solid System 0 New ❑ Replace 1 ❑ Other HI Forced Air u Radiant u Steam U NC u Vent ❑ Electric A Li Hot Water ❑ Suppl. LJ Con. Burner Chimney Type p Chimney A 0 Chimney B 0 Direct Vent • Not Applicable Heat Loss 0 As Approved 0 Existing • Not Applicable Value BTU Rate 0 As Per Plan O Variable • Other Value Use /Nature SFR / Install new a/c connected to the furnace. EIV signed by Seckar Electric. * *debit acct of Work Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $40.00 Issued By: a Date 05/31/2011 ❑ Permit Voided Parcel Id # 0201970000 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 1075 ISLAND ESTATE CT OSHKOSH WI 54901 -1341 Telephone Number 235 -1523 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. 05/31/2011 12:46 FAX 1 001 City of Oshkosh Division of Inspection Services P.O. Box 1130 I 04j Oshkosh, WI 54903 -1130 Phone (920) 236 -5050 Fax (920) 236 -5084 Of —KOf Ohl TNF WATKp 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 W1 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 1 ou are a contr, ct • 1 , I. -' < Perm . ■ t vsienn and have a _dggucrte fi,nd.t, check here tf you want th; processed through your account iii ** 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 3 JOB ADDRESS ••■ 3'7 WA3C OWNER _ -4 d CONTRACTOR - CHECK RI ALL APPLICABLE • USE CATEGORY Mingle Family °Duplex OMulti- Family °Rental °Commercial ❑industrial FUEL ZGas ❑Electric ❑Solid SYSTEM •ew C]Replace °Oil QSo1ar OOther TYPE CDForced Air ❑Radiant ©Steam /C ❑Vent LJEleotrio DlIot Water OSupp1. • ©Con. Burner IS CHIMNEY BEING LINE9i4No ClYes - LINER SIZE & MANUFACTURER, _ . Note: All chimneys shall be sized per the BTU's being vented. . CHIMNEY TYPE OChimney A OChimney 8 ODirect Vent °Other HEAT LOSS DAs Approved ClExisting DNot Applicable BTU RATE DAs Per Plan OVariable C]Othor Value DESCR 'TION / SCOPE OF ALL WORK BEING DONE 6 Ylf ui VALUE (Including labor and materials) $ of ' J d ) , o ELECTRICAL CONTRACTOR (for projects not requiring au EIV Form) _ Received Time May.31. 2011 12:42PM No. 5847 01 05/31/2011 12:46 FAX Z002 cry et Oehl aA DIvi to eteapecfion Services 215 aortal Avenue PO Bat 1130 O W1 31903 -1130 /pawl: Electric Installation Verification I (We) C SC t" � ��- Cy ((t j�1 � / Q1i G (Electrical Contractor Name or Homeowner's Name) 20 Cod - Me ' W M /NNt=corJ,iJ btJ/ 5 YSc (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: (AO l S1 . (Address where work will be performed) The nature of the work consists of (Check One or Describe the Nature of Work) X 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 ofthe 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 The value of this work is $ 25D -06 . i hereby verify this work will be performed in compliance with the License requirements of Section 11 -22 ofthe Oshkosh Municipal code and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. . k,... 0 . its (- b(A re. �Sf 4 i5 i! (Signature of =We or Homeowner) (paint Name) 000 07/07 Received Time May, 31. 2011 12:42PM No. 5847