HomeMy WebLinkAbout0122918-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 902 W BENT AVE
CITY OF OSHKOSH
No
122918
HVAC PERMIT-APPLICATION AND RECORD
Owner JESS A ELLESTAD/APRIL 0 HESSER
Create Date 12/12/2006
Contractor A-1 HEATING &A1C INC
Fuel l!:J Gas UOil
System D New
l!:J Forced Air U Radiant
U Electric I U Hot Water
Chimney Type [) Chimney A C) Chimney B
Heat Loss D As Approved . Existing
BTU Rate . As Per Plan D Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
~ Replace
U Steam
U Suppl.
C) Direct Vent
U Solar U Solid
D Other
U AlC U Vent
U Con. Burner
. Not Applicable
() Not Applicable
() Other
Value
Value
60,000
Use/Nature SFR /Replace furnace. EIV provided by Bell Electric.
of Work
Fees: Valuation
$1,630.22
(247/)0
Plan Approval
$0.00
Permit Fee Paid
$35.50
Issued By:
Date 12/15/2006
D Permit Voided I
Parcel Id # 1207560000
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.
~
, .
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, VVI54903-t130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~
OfHKOfH
ON THE WATER
· Application(s) and fee(s) can be brought 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
I
ee Account S stem and have ade uate unds check here
JOB ADDRESS
OWNER Ap 1'; L
CONTRACTOR A-I
90.A {)~h1T 1ft[!
tLL~iC1 d
DATE /1/l-7/r6
RE EIVED
CHECK It[ ALL APPLICABLE
USE CATEGORY
r\ ~Single Family. ODuplex DMulti-Family
DRental
o Commercial
o Industrial
FUEL
)fGas
DOil
OElectric OSolid
DSolar
SYSTEM
ONew
o Other
~eplace
TYPE
ptForced Air DRadiant DSteam DAlC DVent OElectric DRot Water DSuppl.DCon. Burner
IS CHIMNEY BEING LINED PaNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CIDMNEY TYPE
HEAT LOSS
BTU RATE
DChirnney A
DAs Ap.nroved
ftfAs Per Pfan
DChimney B
paExisting
DVariable
DDirect Vent ,3fOther /lr/e
DNot Applicable
DOther Value C' fI '" [J
DESCRIPTION OF ALL WORK BEING DONE
~~
d-'ff-
,
V ALUE (Including labor and all materials including light fixtures) $
// t J f} . ).:2.
,
-% 0'.,J<O
("") ELECTRICAL CONTRACTOR
dt/J 1t
&t{
350 ?-.
OR 0 Electric Installation Verification form attached(lf Replacement)
fuctrical installation ~f new/replacement equipment shall be done by licensed contractors.
12/11/2006 MON 13:54 FAX 1 920 733 '2713 WATTERS PLUMBING
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OIh\IIOl WI ~"lU.")1'
Olftte "204:)0050'0
t'.,. .20'13~JO."
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Electrlcln$tallatlonVer1t1cat'on
I (We)~_AL~~'1N c.. . ~b IP- 3&1 '2.
(Elcctriul Ct>J2lracfOr Nllmc)
--.---1:2..:. ,6 fJ )l' II a. bJtI""~1, 1,.,.1' j y, 5 :2-
<Ad~J) (City) (State) (Zip Code)
lua~e been c:ootr~ted to perf()rm cl<<.tric inS1allation work. for ~-/ H~4'rJ., ~ fII' ,y t:.
I'}p",'t 8.LL.J.i-~J ' (Nameofpmtycontr~ed.Co)
althefollowingaddress: --9.t."'- ,a,t'''''''''' I}.I/ ~341(r1j~. IS.!" 6''1J
(Addn:ss where work wiu be performed)
The ....re 'Ibe wori< co...... of: (Cheek Om: OF 0acrIbe llte Nat"'" of Work) .
-.1.L Roconneclioaor dew circuit for replllcement HeanDl Plant Mdlor Ale Cot'KtMlser,
Reeonn~eti01l or new ciscult for f.:placerncnt Electtk Water HeRter or pl)wer vented
wltc:rhealc. '. .
----- Recon:n=ion of tbe Service EntTaACo Cable, M~lOr Box I 81ceratiOM to lllCeptl&Clea
mid ligbling filCtw'Is due to ~iding I soffit -install.'ion. Note:: Now Servh:c
Entrance Cllbtcs wiU require II separate: pcnnil.
ReC(ltmeaion or new cireuit for tI,e repl~cm1mt of QClIcr permanently wind
appti.onc~ I fLlttures,
New elrcuir ror 'he addition of Ale (0 an (radiwdfl4,l dIWltbtg unll (house or the
individuahystema in a duplex: or condom;l'lium), jncluding ~uired ~~
doc'rical .ollC lets.
_ 01 her
.... '.'
The ...alllc Qflhi~ work js $..,__
I hen:by vcriry this work will he perfo~ned by an employee oftbis company .nd fUl1bet'Verify
In\: ~UI\J1(.'Ction / insla)lation will be done jn compl1llOce with manufllC:~r' and Elecrric code
requ I rem t. 11 I".
~(.UeQ_
(Sign~4ure orCO"\PQllY Officer' ~
rji
. . . J'~-'
__.'C:ti#lr..I1_t~'c"(;:re.-,I..j
(Frint Name of Om~CTj
I<-((~ob
(Dale)
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o,b Po
c:'oI
~n~~~~~n~~t Irnun~ ~TH nUH A~lIH~H tH
WHQn=A Ron? TI ~~n
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