HomeMy WebLinkAbout0122919-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 933 BISMARCK AVE
CITY OF OSHKOSH
No
122919
HVACPERMIT - APPLICATION AND RECORD
Owner JEFFREY J/DONNA M LAATSCH
Create Date 12/12/2006
Contractor A-1 HEATING & AlC INC
Fuel l!:J Gas I J Oil
System o New I
l!J Forced Air U Radiant
UElectric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss () As Approved . Existing
BTU Rate . As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
o Other
U Ale U Vent
U Con. Burner
. Not Applicable
U Electric
~ Replace
U Steam
U Suppl.
() Direct Vent
() Not Applicable
() Other
Value
Value
60,000
Use/Nature SFR /Replace furnace. EIV provided by Bell Electric.
of Work
Fees: Valuation
$1,601.00
~
Plan Approval
$0.00
Permit Fee Paid
$35.50
Issued By:
Date 12/15/2006
o Permit Voided I
Parcelld # 0604810000
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
AgenUOwner
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.
r
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
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 THF 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
J
ee Account S stem and have ade uate unds. check here
JOB ADDRESS 933
OWNER I);) II Y} a.
CONTRACTOR A-I
fJlSff}1ork /lve..
DATE
/~)/o6
. ,
ED
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RE>>~EI
CHECK &'J ALL APPLICABLE
USE CATEGORY
r ~ingle Family. ODuplex OMulti-Family
DEe 1 2 2006
DEPARTMENT OF
COMMUNITY DEVELOPMENT
ORental
o Commercial
OIndustrial
FUEL
~Gas
DOil
DElectric DSolid
DSolar
SYSTEM
DNew
DOther
W'Replace
TYPE
:RlForced Air DRadiant OSteam ONC DVent DElectric DHot Water OSuppl.DCon. Burner
IS CHIMNEY BEING LINED ft'fNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CIDMNEY TYPE
HEAT LOSS
BTU RATE
DChirrmey A
DAs ApJ2r~ved
;rAs Per Plan
DChimney B
~xisting
DVariable
DDirect Vent ft[Other jJv~
DNot Applicable
DOther Value do/ ,J,'lJ
DESCRIPTION OF ALL WORK BEING DONE
V ALUE (Including labor and all materials including light fixtures) $
1/ 6 0 ., . 0) J
,
fJS so
(",ELECTRICAL CONTRACTOR
At"[['
OR 0 Electric Installation Verification form attached(lf Replacement)
Electrical installation of new/replacement equipment sha{{ be done by licensed contractors.
deb #= 31 y-o:g
12/11/2006 ION 13:54 FAX 1 920 733 2713 WATTERS PLUMBING
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(AddresS) 'fC'ity) , (Sblte) , (~ip Code)
nQve bl:C21 contnlded Ie) p~rronn cleetrie instaUaUOb work for, /Jt.1 .If'~~~I.._,It-, ~~~ ..,
/JOlT,., C\ Let .q ,1'.$ ,'" .(Name .or,~t.i8efed to)
at the fo{Jow'ng addrn.s~ 93.3 13 fJ Ma,. i{ .4,,( ,IJ il,. KI( j "L;..Jj.~6 - J 51 9; .
. .(Address where woJic wi11 be ~~)
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The Dalute oflhe wOJk consists of: (Check ODe'of Describe lJ;\eNatutc oiWotk)
'~-Ii<>G'" _cirouii for ""ro-;... f;l'-Ji08.P.JaO.l ~ Ai\:: .~.
R,ft:OMllCtion ar new c~reuit Cor replacemcut Efec'l'ric Water 'Heate1' c)r-~W8r veriC~
watctJU:lUet. ",,' : '. ' '. . " ,
R.e.eonnection ~r1he Se-rviee Enb'~e C~IJI 'Met<<',Bo~, '~,tidQ ,o'~liI4le1
and lighting fi~turC$, d;\lf; t~ ,"dins I ~mt '~t~,ioe. NOte; 'Nev,'Ser.,Ioe
El1lraaac= Cable-Ill:witt ""1wrc a' ~ ~it. ' .
R.econncctlon or new circuit fQr th,e replaeement 9f other pen11atrently wind
l.pp};ancq IlixtUn=lll, ,
New cireuit for the llddiUon or Ale to ~n inc!ividua/ dwelling lI#tit (~ or Cbe
indi\f.dual systems ill a d~lplex Dr C()ridoni~murn). loc1udiaS required service
<:h~ctzic:nl ouUets.
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The: v:lhu: orthi~ work is $"
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Il)lm.."y verify this work 'Will he performed by an employee of thjl'~l*i' ~,'fuJ1het verify
th~ rco,UTlcctjOlll installation will be done in complllUlCc wilt! mariutaOt~ Bnd E'lect.ric CodCl
requirements. ' ,
~~_7L-AQ_
(Signalur~ <)f Company Officer)
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(Print N:Un(: ~i"omccr'
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