The URL can be used to link to this page

Home My WebLink About0155479-HVAC (replace a/c) � CITY OF OSHKOSH No 155479 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1679 THORNTON DR Owner MATTHEW R TOOKE Create Date 05/07/2013 Contractor BLACK-HAAK HEATING Category 501 -Residential-Air Conditioning Plan Inspector Nicole Krahn Fuel Gas Oil ✓ Electric Solar Solid System � New � �✓ Replace � Other j Forced Air Radiant Steam ✓ A/C Vent Electric Hot Water Suppl. Con. Burner � Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable HeatLoss AsApproved � Existing � NotApplicable Value BTU Rate As Per Plan � Variable � Other � Value __ _ __ Use/Nature FR/REPLACE A/C, ELECTRICAL WORK BEING DONE BY ALVIN RUSCH "check#4717 � of Work � I Fees: Valuation $2,550.00 Plan Approval $0.00 Permit Fee Paid $62.00 Issued By: ��ll� II.0 Date 05/07/2013 ❑ Permit Voided � Parcel Id#1317880000 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 AgenUOwner Address PO BOX 7075 APPLETON WI 54912 -7075 Telephone Number 920-757-9990 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 � ON THF WATFR . HVAC PERMIT APPLICATION MAY 06 2013 All information after bold categories must be provided. Incomplete applications will not be processed. DEPART9IE'.�;T OF • Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspect��R�,�'�+1�.�8, Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being dou le or �.��t1ls the normal permit fee,which ever is greater. OR If vou are a contractor participatinQ in the Permit fee Account Svstem and have adequate funds check here if you want this nrocessed through vour account n **Advisory-For applicable projects, an Electrical Installation Verification(EI�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 5-1-ab 13 JOB ADDRESS �(01� �1 o r�,�, �y OWNER a-�� Tvo�C.Q� CONTRACTOR ��(,�L - �� }�a-1�i n a , T.Y►c • �J�q 3 CHECK�ALL APPLICABLE USE CATEGORY G�ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial FUEL � �Electric ❑Solid SYSTEM ❑New �ace . ❑Oil ❑Solar �Other TYQ� ❑Radiant ❑Steam �C ❑Vent ❑Electric ❑Hot Water ❑SuppL OCon.Burner IS CHIMNEY BEING LINED IdNo ❑Yes -LINER SIZE &MANUFACTIJRER Note:All chimneys shall be sized per the BTU's being vented. CffiMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent OOther HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable BTU RATE ❑As Per Plan ❑Variable ❑Other Value DESCRIPTION/SCOPE OF ALL WORK BEING DONE Qf�� cn-� ,Q.� 1(Y51(�,QYT�7a..Q C • VALUE (Including labor and materials)�.=Js�� ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) ��1� �(,(� � �'J��g Ip o�/o� �evYYl��" FPP � �va�� N��t� '�0�� ek�icA,� � , . City of Oshkosh Division of Inspection Services � P.O.Box 1130 � Oshkosh,WI 54903-1130 Phone(920)236-5050 Fax (920)236-5084 HK f 1 QN THF WATFR � ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. • Application(s)and fee(s)can be brQUght 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$100.00 plus the normal permit fee,which ever is greater. OR If vou are a contractor participating in the Permit Fee Account Svstem and have adeguate funds, check here if vou want this processed throu�vour account ❑ DATE ,S � l- �0 I � JOB ADDRESS I �o� G! I C`101�Vl'�l'1 � OWNER mGt-�+ ��O'k.Q� CONTRACTOR I�lae,�- Ha�.k Heafinq . �viC � #ll 1�i3 CHECK 0 ALL APPLICABLE USE CATEGORY 6�ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial SERVICE ❑New ❑Temporary TYPE ❑Overhead Ca3�t Applicable ❑Change G�Tot Applicable ❑Underground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles# Circuits# Phase Amps Switches# Fixtures# CHECK�ALL APPLICABLE ❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater ❑Fan OR Blower ❑Furnace �C ❑Electric Sign ❑Motors ❑Gas Pumps ❑Other DESCRIPTION OF ALL WORK BEING DONE ,ola.�err�� . �P��d.e �c� fi� �� VALUE (Including labor and all materials including light fixtures)$ ��• � MASTER ELECTRICIAN �I Ulv� �Gt� � ��I DO � 3/02 �(.1� ''`�� <�