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Home My WebLink About0153445 - HVAC (furnace and AC) (9 CITY OF OSHKOSH No 153445 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1015 WINDSOR ST Owner JESSE M/BONNIE WINTER III Contractor MODERN SHEET METAL INC Create Date 11/08/2012 Category 502-Residential-Both Plan Inspector Nicole Krahn Fuel ✓ Gas _-- J TOil LTElectric — — -- Solar Solid System New � E Replace ❑ Other Forced Air — Radiant ETSteam ❑ ❑Electric j Vent Hot Water ❑ SuppL 1 jton. Burner , Chimney Type Y YP Chimne A ---- at e -- __ Y Chimney B 0 Direct Vent • Not Applicable 1 Heat Loss � As Approved -- — O pP 0 Existing — • Not Applicable Value BTU Rate As Per Plan • th — —— Q Variable Other _ Value Use/Nature SFR/REPLACE FURANCE AND A/C UNIT, EIV SIGNED BY THE OWNER **check#92 of Work 7 I i Fees: Valuat' fi 5her) 6,740.00 $115.00 �l Plan Approval $0.00 Permit Fee Paid Issued By: Date 11/08/2012 ❑ Permit Voided I Parcel Id#1309910000 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 2180 AMERICAN DR — NEENAH WI 54956 -1004 Telephone Number (920)733-4713 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. 0)(1-qW/ City of Oshkosh Division of Inspection Services P.O.Box 1130 Oshkosh,WI 54903-1130 Phone(920)236-5050 Fax (920)236-5084 OfHKOf-I 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$100.00 plus the normal permit fee,which ever is greater. OR If you are a contractor participating in the Permit_fee Account System and have adequate funds, check here if you want this processed through your account n **Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. DATE /�/O[�j �� JOB ADDRESS /4/5" m � OWNER Jesse la ) �•GCi• CONTRACTOR Jam_LJ 11 " iP//z l- .7434 CHECK El ALL APPLICABLE UV CATEGORY Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial FUEL tlKsas ❑Electric ❑Solid SYSTEM ❑New et4eplace ❑Oil DSolar ❑Other TYPE D:iorced Air ❑Radiant ❑Steam DA/C ❑Vent DElectric ❑Hot Water ❑Suppl. DCon. Burner IS CHIMNEY BEING LINEDAklo DYes -LINER SIZE &MANUFACTURER Note:All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑Chimney A ❑Chimney B DDirect Vent DOther HEAT LOSS DAs Approved DExisting ❑Not Applicable BTU RATE DAs Per Plan ❑Variable ❑Other Value DESCRIPTION/SC• 'E OF ALL WORK BEI G DONE / 2/ te"€,1 1f >I/4e ,�..1 Qc, _ 4A I Ga4- mor- 114�a�I I« .L / / D1, C %1i � � i/_I , VALUE(Including labor and materials)$ Z.-,l J ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) 07/07 City isf0s6koelt Division of Inspects=Services 215 a erca Avenue PO Sax 1130 Clams WI 54903-1130 Office 920-236-5050 „ Fax 920-236-5064 'Electric Installation Verification I J55 h 1- --- - (Electrical Contractor Name 'b r Homeowner's Name) o A A - . ' C�"i€ / ) 4 $ 99 . (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work stated below,at the following address: a/ i!/i%�dt5' Si; Al 5g-49:42.J (Address where work vfill be performed), I 0 n The f the work consists of: (Check One or I .scribe the Nature of Work) 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 C ble,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 all 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$ 7I/ ), v 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.VI 104) f.,, g,- 3eSe. tvt ir)“,Aer----0_ c ( 1 2 1 1 2 (Si of Company Officer or Homeowner) (Print Name) (Date) 07/07