HomeMy WebLinkAbout0106380-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1064 W 10TH AVE
Contractor A-1 HEATING & A/C INC
Fuel
System
Gas J ~J Oil
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner KEITH A/SUSAN M PHELPS
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B ~) Direct Vent O Not Applicable I
~) Existing O Not Applicable I Value
~ Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
106380
02/09/2004
Other
Vent J
HEAT LOSS CALC
Use/Nature SFR/FURNACE REPLACEMENT*EIV BELL ELECTRIC JOB#1793
of Work
Fees: Valuation
Issued By:
$1,991.80 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$35.00
Date 02/09/2004
Parcel Id # 1307570000
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 W8078 HILLCREST CT HORTONVILLE WI 54944 -0 Telephone Number
920-779-8838
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.
I (We)
Electric Installation Verification
(Electrical Contractor Name)
.... ..
(Address) (City) (State) (Zip Code)
have been contracted to perfoma electric installation work for
(Name of party contracted to)
at the following address:
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
/
_._~__~ Reconnection or new circuit for replacement Heating Plant and/or A/C Condams~.
__ Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection ot'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 cimuit for tb, e replacement of other permanently wired
appliances / fixtures.
___ New circuit for the addition of A/C to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $
1 hereby verify this work will be performed hy an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requiretnetats.
(Signature or'Company Officer}
(Print Name o f Officer)
/9 93 j
(Date)
5/02