Loading...
HomeMy WebLinkAbout0146313-HVAC (a/c) CITY OF OSHKOSH No 146313 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1919 MONTANA ST Owner JULIE S RYAN Create Date 06/13/2011 Contractor MARK WEBER HEATING & COOLING IN Category 501 - Residential -Air Conditioning Plan Inspector Nicole Krahn Fuel ✓ Gas Oil U Electric U Solar U Solid System n New ❑ Replace [] Other LJ Forced Air u Radiant u Steam A/C L J Vent Li Electric Hot Water U Suppl. U Con. Burner Chimney Type 0 Chimney A 0 Chimney B • 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 / INSTALL NEW A/C, EIV SIGNED BY SECKAR ELECTRIC **debit acct of Work Fees: Valua ' $2,000.00 Plan Approval $0.00 Permit Fee Paid $40.00 Issued By: Date 06/13/2011 ❑ Permit Voided Parcel Id # 1406910000 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. 06/13/2011 09:21 FAX 0001 City of Oshkosh Division of Inspection Services P.O. 130x 1130 Oshkosh, WI 54903 -1130 ,Fur, Phone (920) 236.5050 � €,. Fax (920) 236 -5084 OJH J'R HVAC PERMIT APPLICATION TN1;V4AT111/ 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 Pees being doubled or $100.00 plus t normal permit foe, which ever is greater. OR IfyylLJJre u AR, ,r _'tor Optic . ti •/ / , • r -, • 4cco of ' irr I 1 - av= ocra '1 rte l rr.'Ls, che l 01 ant t, i A r throe - h our .. on /.:1 ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electric Contractor or homeowner (for installations allowed to be performed by the homeowner) must be submitted with the pennit 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 — [ 3 ~- i JOB ADDRES �/ c ' c Q ,_._- a OWNER J 4-1.4_4 E �1 �, CONTRACTOR ; ILk CHECK el ALL APPLICABLE • U E CATEGORY %ng1e Family °Duplex ❑Ivfulti- Family DRentaJ DCommerciai °industrial FUEL Atria& 0E1ectrie °Solid SYSTEM , New °Replace GOii ©Solar °Other TYPE °Forced Air °Radiant OSteam C °Vent ❑Electric t; ]Hot Water GSuppl. • °Con. Burner IS CHIMNEY BEING LINED o DYes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized Or the BTU's being vented. CHIMNEY TYPE °Chimney A °Chimney Birect Vent ❑Other HEAT LOSS DAs Approved DExisting °Not Applicable BTU RATE DAs Per Plan °Variable ©Other Value DES / SCOPE OF ALL WORK BEING DONE/A/ 3 rnizj h1 d +'4' VALUE (Ineluding labor and materials) _ coo t. 0 V RI .p.c'ritinAL CONTRACTOR (for projects not requiring an UV Fornr) —. Received Time Jun. 13. 2011 9:18AM No. 5993 06/13/2011 09:22 FAX 11002 Cry of Oshkosh vtao orhaspoAl°n seivioes 215 Chw°L Maxie PO Bac 1130 oako& WI 549034130 Electric Installation Verification I (We) C EC- i` 0± /G COft ' iii C. (Electrical Contractor Name or Homeowner's Name) 8 Code- TME PLUM NECD fUtV'c w/ SLCgg c (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the fallowing address: (Address where work will be performed) The nature of the work consists ofi (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 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 multiuse building would require a licensed Electrical Contractor. Other The value of this work is $ ,%Z ec At 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. I r” � E h-. ,SeZk Cp ��L _ �"✓ (Signabnt of C pony Officer or Homeowner) (Print Nana) (Date) 07/07 Received Time Jun, 13. 2011 9:18AM No, 5993