HomeMy WebLinkAbout0114551-HVAC (furnace)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
114551
HVAC PERMIT - APPLICATION AND RECORD
Job Address 2170 ONTARIO ST
Owner
JOHN A/KORINA J ROBERTS
Create Date 06/09/2005
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
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
80000
Use/Nature SFR/ Replace furnace. EIV provided by Bell Elect - No chimney liner being installed
of Work
Fees: Valuation
$1,600.00
Plan Approval
$0.00
Permit Fee Paid
$29.00
Issued By:
Date 06/09/2005
U Permit Voided 1
Parcelld # 1220800000
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.
. .' §5/24/2009 SUN 14: 21 FAX 1 920 733 2713 WATTERS PLUMBING
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Electric InstallaUon Verification
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(Electrical Contractor Nlllne)
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(Narnè of party cõnlrac\ed 11»
allhe fOllowing address: ..£l.1.Q....f2tð!Jf'lQ j T t7J ~k~~ h /ft,1'I"~ /J~/N,.-fS
(Address where work wl1l be perfQl1n~) ),JI-3 'I ¡< 1
have boon contracted to perronn electric ¡nðtall"tion work ror
Th. palure ~be work "o"5¡~lq of: (Check One or Dcacribetbe NatUre of Work)
,...¿ RcconnQÇlion cr new circuit for replacement Healing PIIII\I andlor AlC Con<Ienlet.
-'- Reconneclion or new cirelli! for replacement Elcetric Wat( ' Heater or I'ower venled
waler heater.
--, Roconneclion o/.'thc Service Entrance Cable, Melor BI'IK, alœrøtions to re~L!ptIlC11JIII
and lighting fi~ture~ due to siding/ soffir installation. Note: New Service
Entrance Cables will require a separate permit.
--- Re;:OtlJ)cClion or new cireuit f(lf th,c rq>laceinent of other pcmlllltently wit\>!
applioncos ¡fixtures,
New circuli for the addition of AlC to on Individual dwelllns unit (hOIlBC or the
ind; vidual systems in a duple:>( or condominium), including ~uil'C1d SClrvicc
dcctriC4loutlets,
-- Other
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The valUe 0[111;5 work j~ $..._.~.
I hereby verify Ihis work will he performed by an employee of Ibis complllty and further verifY
th~ rocoII"ection / installation will b. clone in compliance with mllllufao\uter 1IIId Electrio code
rcql1irct1"'J\t~,
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(SIgnature 01 (:QInPl1lty Officcr) (Print Nume orOm..r)
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