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HomeMy WebLinkAbout0147013-HVAC (a/c) (1) CITY OF OSHKOSH No 147013 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 27 EVELINE ST Owner RUTH I WEIGAND ETAL Create Date 07/28/2011 Contractor MARK WEBER HEATING & COOLING IN Category 501 - Residential -Air Conditioning Plan Inspector John Zarate Fuel U Gas U Oil Li Electric u Solar U Solid System J New [7 Replace I ❑ Other U Forced Air L J Radiant ^ J Steam a NC Vent J U Electric LJ Hot Water 1 Su l. PP u Con. Burner Chimney Type 0 Chimney A O Chimney B O Direct Vent 0 Not Applicable Heat Loss 0 As Approved 0 Existing • Not Applicable Value BTU Rate 0 As Per Plan O Variable 0 Other Value Use /Nature SFR / Install new central a/c into the existing heating system. EIV signed by Seckar Electric. * *debit acct of Work Fees: Valuation $1,300.00 Plan Approval $0.00 Permit Fee Paid $29.50 Issued By: L cam.. Date 07/28/2011 ❑ Permit Voided Parcel Id # 0804530000 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. 07/28/2011 07 :37 FAX @1001 City of Oshkosh Division of inspection Services P.O. Box 1130 Oshkosh, WI 54903 -1130 #1111 Phone (920) 236.5050 Fax (920) 236.5084 OJ HKOJH HVAC PERMIT APPLICATION ON ` "F wn7r11 All information after bold Categories must be provided. Incomplete applications will not be processed, • Application(s) and fee(s) can be brought to City Hatt, Room 245 or mailed to Inspection Services, PO Box 1128, Oshlcosh WI 54903 -1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus tl normal permit fee, which ever is greater. , OR 11 YOU 6 e 0 on , , . • '•'44 ,• 1 ..- • 'Poi •' , 47 n 7 sre, d have adeg'a,nre Antes, c hec% her 1,Jl.Lrott want 1 i ' •oce.rse thr•ou: h • s cozy 1 ,y' *°* 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 permit application. Applications submitted without an EN when such is required, will not be processed for Permit Issuance and will be returned for completion. DATE 7" 2- S ~/ / JOB ADDRESS 2 OWNER �� 1 - 1 .L z~ _1L'rkvJ _ w CONTRACTOR V iet 1 - 0 '`- c- CIIECIC El ALL APPLICABLE . • UATEGORY le Family ODuplex ❑Multi- Family ORental ❑Commercial °Industrial FUEL cP§as °Electric °Solid SYSTEM lcw CiReplace °OiI DSolar ❑Other _,___._ TYPE °Forced Air ORadiant ❑Steam . 41.0 DVent DElectric °Hot Water DSuppl. • ©Con. Burner IS CHIMNEY BEING LINED r3441o.°Yes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. • CHIMNEY TYPE ❑Chitnney A ©Chimney 13 °Direct Vent °Other HEAT LOSS ❑As Approved °Existing :Not Applicable BTU RATE DAs Per Plan °Variable °Other Value DESCRIPTION / SCOPE OF ALL WORK BEING DONE 4 AJe C? rr/t Pt • _ Ai T Aim -.- . . ,cA, t Zaali VALUE (Including labor and materials) $ _ / . ► D 0 ELECTRICAL CONTRACTOR (for projects not requiring nu EIV Form) ______ —W Received Time Jul. 28. 2011 7:33AM No, 6493 07/28/2011 07:37 FAX CJ002 City of ()diked DMdae otlnspealon Services 215 ci+wo4 Ave ms PO Bac 1130 °Alka li WI 549034130 571 :'i WIZ o PLC M236-5064 Electric Installation Verification I (We) E -" g e — 1- I '`- iL (OM PAi) / /('v1 (Electrical Contractor Name or Homeowner's Name) S� Zo CD gT ieli PLWMf -. W f &NEco &/JC Ali 5to8, (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: 7 E ► a (Address where work will be performed) The nature of the work consists o (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 penuit. 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 $_ _ 2a O • 0c) 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. j ia-c (Signataue of C paay Officer or Homeowner) ��`� Orin' Nato) (per) 07/07 Received Time Jul, 28. 2011 7:33AM No, 6493