HomeMy WebLinkAbout0112628-HVAC (furnace)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
112628
HVAC PERMIT - APPLICATION AND RECORD
Job Address 234 236 W 7TH AVE
Owner
KELLY J BURNETT
Create Date 01/27/2005
Contractor A-1 HEATING & A/C INC
1,(1 Gas 1 1 Oil
Fuel
1 1 New 1
System
l..j U
Forced Air Radiant
1 1 Electric 1 1
Hot Water
Chimney Type () Chimney A 0 Chimney B
Heat Loss 10 As Approved . Existing
10 As Per Plan 0 Variable
Category 500 - Residential-Heating & Ventilating
Plan
1 1 Electric
1,(1 Replace
1
1 1 Other
1 U Vent
1
1 1 Solar
1 1 Solid
U Steam
1 1 Suppl.
. Direct Vent
U A/C
1 1 Con. Burner
0 Not Applicable
0 Not Applicable
. Other
Value
0
BTU Rate
Value
60000
Use/Nature DUPLEX! Unit 236 / Replace furnace - EIV provided by Bell Elect NO CHIMNEY LINER BEING INSTALLED - --Where an appliance is
of Work permanently disconnected from an existing chimney or vent (CN), the CN shall be resized as necessary to control flue gas condensation in the
interior of the CN and to provide the appliance or appliances served with the req. draft.
Fees: Valuation
$1,536.40
Plan Approval
$0.00
Permit Fee Paid
$29.00
Issued By:
Date 02/09/2005
U Permit Voided 1
Parcelld # 0900130000
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.
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
112628
HVAC PERMIT - APPLICATION AND RECORD
Job Address 234 236 W 7TH AVE
Owner
KELLY J BURNETT
Create Date 01/27/2005
Contractor A-1 HEATING & A/C INC
1,(1 Gas 1 1 Oil
Fuel
1 1 New 1
System
l..j Forced Air U Radiant
1 1 Electric 1 1 Hot Water
Chimney Type () Chimney A 0 Chimney B
Heat Loss 10 As Approved . Existing
BTU Rate 10 As Per Plan 0 Variable
Use/Nature
of Work
Category 500 - Residential-Heating & Ventilating
Plan
1 1 Electric
1,(1 Replace
1
1 1 Other
1 U Vent
1
1 1 Solar
1 1 Solid
U Steam
1 1 Suppl.
. Direct Vent
U A/C
1 1 Con. Burner
0 Not Applicable
0 Not Applicable
. Other
Value
0
Value
60000
DUPLEX! Unit 234/ Replace furnace - EIV provided by Bell Elect NO CHIMNEY LINER BEING INSTALLED ---
Fees: Valuation
$1,536.40
Plan Approval
$0.00
Permit Fee Paid
$29.00
Issued By:
Date 02/09/2005
U Permit Voided 1
Parcelld # 0900130000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
W8078 HILLCREST CT
HORTONVILLE
WI 54944 - 0
Telephone Number
920-779-8838
---
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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Eledrlc Installation Verlfleat()t)
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(Electrical Có/ltraçtor Name)
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(Address)
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(City)
VI J"Y'iS1.
(Sw"te) (Zip Code)
hayc bocn contrt1Ct<X!lo perform electric ¡"'lallation work for Â-/ 1!t:t;.rffiJ ø'- -¥(" .
(Nameofpø.rty contracted 10)
a1the fo\Jowing address: 2a.L1X.J..J!..-&.e.. ~;'fíø. ~ i.-II IIH;r ~ p... f"lib-I"
(Address wllere work will be perfOltl)ed) ')..3$-,3 15:5,'
11'0 nattlre of the work consists of: (Check On~ or Dœcribe the Nature o¡'Work)
-¥ Rc<onnQCtion or nCW circuit for replacement Heating Plant and/or NC Condenler.
- RecO11l1e<:I/<m (IT new cirelli! for replacement :electr]. Water Heater or power vented
water heater.
-.- RecoMel:tion of tbe Service Entrance Cable, Meter 8o~, alterations 10 rccdptal;lca
w1d lightin¡¡ fixtures due to IMina / soffit ialø1lation. Note; New Service
Entrance Càbles will rcquirv a ecparatc penn!!.
-- ReccMectiOJl or new circuit for the roplacetnenl of other pcrmancntly wired
applilltlces / fixturee,
---. New circuit for the atlditioll of A/C to on individual dwelling Imi! (houge or the
individual eysLem. in a dllplc:x or cöndorniniurn). including required service
electrical óutlet.,
- Otbor
_.-.. '-".'.-'--.. --~--~-._"... --.-,.--..--
---.----..""-----.-
Th. vahle ofthj¡ wor); is $...__.
I hcrchy verify Ihis work will he t'erfoJ7ncd 1»' an employecl)ftJIis company and further verify
th~ '..COnnectlon/ irmallation will b. done in compliance> wit~ mlll)UfRctu~r III1d Elccltic code
rcquirCn1l"ltS.
,~. '~/Æ3 .---.--... 'i~f!s::J~~:~_.-
(SignHlUreMCOI11p""yOmccrl (PrilllNomc orOfficer)
_I.'J. ý. ,,",--
(Date)
"17
¡fir/fry
;:)6 ~ $.g,19 ,1.Jv"V',~ ----
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