HomeMy WebLinkAbout0102817-HVAC (replace 2 furnaces)OSHKOSH
ON THE WATER
.lob Address 935 MERRITTAVE
Contractor A-1 HEATING & A/C INC
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner DANIEL/PATRICIA MISEVICZ
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss IO As Approved ~ Existing
BTU Rate IO As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
102817
07/09/2003
Other
Vent J
Use/Nature SFR/Replace 2 furnaces - 1st & 2nd floor. *Job # 1486. EIV form from Mr Teas.
of Work
Fees: Valuation
Issued By:
$4,300.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$69.50
Date 07/14/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address W8078 HILLCREST COURT HORTONVILLE WI 54944 -0
Telephone Number
(920) 779-8838
( 1ah k o~1;, WI $495)3-11 '~0
Fax (920) 236-5094
C)jk-tKOZI" t
HVAC PERMIT APPLICATION
UsJtkos]~ Wt 549()3-1128. Commencing work wilhout permit(s) will result in Ibes t~Jng doubled or $100,~) plus the
nor't~xd JXTI'I)tll J~t;, which ever ~s greater.
OR
k[ ) R~L ~q.q_.~L_Cu~(J*a(.(f.~t,.~f.C(!~:~(~t~Z-(.c~hgJ'c.?nil Jcc..~q'-~L~¢L:5'YSt~'~n a.~(.havu a~h'q.atr
0
('111':( 'K [] Al J. API'I.I('AIII.E
I ~SE ( 7ATE(;OR Y
~.%inglc I,'umily [31)upl¢× [] Muir i .,t"amily
[JlV. c:n Iai E]C!otmncrcial L] htdustriul
I~t jas ~lqk'ctr~c [JSohd SYSI I.M FINcw JlRcplacc
BOil BSolar []()lhcr ...............
I~l,ox:cd Asr [JR xt alii I ISteam LIA. ( []Vent L-ll:]t'dric L-II lot W~tlcr []Suppl,Lg(tot~. t3umer
IS (.IiiMNI.~ Iii. IN(, I,INEI) [llNo [']Ycs - I.INI'iI{ SIZI, & MANIJFACI'tII(I:]( .........
Note' All ch~l~eys shail Ix' g~zcd per Iht B'I'I.]'s being vdlled.
¢IIIMNI~',Y TYI'E ~Ch.nncy A [3('himney B [3Dh'cci Vdlt ~Othcl
Ill,;A'I' I,OSS lSAs Approved ~l~x~*,tfng ~NoI Apphc:lt~[c
BTII RAT}; ~As Per Plan ~Vartablc ~()lhcr Va[lc ............................
Iai)or and all materials inch,tilt,
Electric Installation Verification
(Electrical Contractor Name)
{.Address] {{'ity} {State) {Zip
~vc been contntctcd to per~brm electric installation work lb, ~V .~0.- ~: ...... (Name of pm~y coulraclcd
( Address where work will be pedbrmed)
The natmc oflhc work cc, nsists of': (L hock ()nc or Describe Iht Nature of Work)
Rc, eonncclion or new circuit tbr rt:placement Ek:ctric Walcr J lealcr ~ ~ power vented
water heater.
...... R~<onncclion oflhe Service l.,nmmcc (able, Meter Box, alterations Io receptacles
and lighting fixlurcs dtc o siding / soltit iustullalion. Note: New Service
Entrance Cables will require a separate l~crmit.
........Rcconnection or new circui~ {bt the rcplaceme~t of other pem~cnfly wired
appliances / fixlurcs.
...... New circuil lbr the addition of A/C to a~l indipidual d~elling unit (house or the
individual systems m a dupk:x or co,dominium}, inchMing required service
electrical outlets.
Other
Thc wflne of (his work is $ ................. .
I hereby w:rify this work will bc pcrlbrmed by an employee oFthis comp~my and ti~rther verify
thc reconncction / installation will hc (.lone m compliance will'~ manulhcturcr' · and, Electt, ,- 'lc' c,~)de,
t qt,rcnlcllt,,.
(Signature cf Comp,my
(Print Name of(If fleer}
([)att;)