HomeMy WebLinkAbout0122913-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 3764 GlENVIEW IN
CITY OF OSHKOSH
No
122913
HVAC PERMIT - APPLICATION AND RECORD
Owner ADAM/CARRIE HENNING
Create Date 12/08/2006
Contractor A-1 HEATING & AlC INC
Fuel ~ Gas I J Oil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type KJ Chimney A e) Chimney B
Heat Loss KJ As Approved . Existing
BTU Rate . As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
I Electric
~ Replace
U Steam
U Suppl.
e) Direct Vent
I
l
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
. Not Applicable
e) Not Applicable
() Other
Value
Value
Use/Nature SFRI Replace fumace. EIV provided by Bell Electric.
of Work
Fees: Valuation
$1,800.00
~
Plan Approval
$0.00
Permit Fee Paid
$37.00
Issued By:
Date 12/15/2006
o Permit Voided I
Parcelld #
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
HORTONVlllE
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, VVI 54903.1130
~, Phone (920) 236-5050
Fax (920) 236-5084
· App Ii cation( s) and fee( s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903 -112 8, Commencing work without pennit( s) will result in fees being doub led or $100.00 plus the
nonna! pennit fee, which ever is greater.
OR
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~
OfHKOfH
ON THF WATER
I
check here
JOB ADDRESS
OWNER 6 I~r J {
CONTRACTOR A-I
a) /.; L/ tf./~ #1 vie l-t,/ iN as ~ II' (J S ~
He~i1J~O <,?~S -0799 RE
JI-e~1};,~'J d- fi l~ .(1..'", ~,d'~illi1tJ 9~'~ 7)'1 - YF3}-
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DATE
//j)7)Ob
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CHECK ~ ALL APPLICABLE
USE CATEGORY
r~ingleFamily ODuplex OMulti-Family
DEe 1 2 2006
ORental
DEPARTMENT OF
COMMUNITY DEVELOPMENT
OCommercial OIndustrial
FUEL
1;iffi as
OOil
OElectric OSolid
DSolar
SYSTEM
ONew
DOther
WReplace
TYPE
)lCForced Air DRadiant DSteam DAlC DVenl DEleclTic DHot Waler DSupp1.DCon. Burner
IS CHIMNEY BEING LINED ft?[No DYes ~ LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEA T LOSS
BTU RATE
OChimney A
DAs AJ;;2rnved
;E:'\s Per Pfan
OChimney B
OlExisting
OVariable
ODirect Vent ~Other /J v (
DNot Applicable
OOther Value PO; cJ v ()
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~D~
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t ~_ ~~\
=
DESCRIPTION OF ALL WORK BEING DONE
~.
~
V ALUE (Including labor and all materials including light fixtures) $
/ 0. 'I a
// rt?()' (I'
#' J
?'3).0
r"",,,ECTRlCAL CONTRACTOR
del It>- 3 0/ Y2-
OR 0 Electric Installation Verification form attached(!f Replacement)
Electrical installation o/new/replacement equipment shall be done by licensed contractors
,. 12/11/2006 MON 13:55 FAX 1 920 733 2713 WATTERS PLUMBING
~
~009/016
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ala
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O/rqilJo 1I(f~ Somien
~IS ClIUrd ^_
"'HI". 1130
~""'" WI ~4'1(1).t 1,'lI)
Ollb '~.;1I:l6'~
1'.. ~o.?"SCIlI.
EI~tric Installation VerlflC8:tfon
J(we)~~LL gt.~l~'~L 0e.-.!..~ :3 yy)...
(Electrical COlltractDf Name)
.~_I' o. _.J, ~~
(AddreS9)
_0 i _._.-'l2.f!"~j hA
(Cit)')
wj
5Y~2.
(State) (Zip Code)
have bc'C'n can'raeted to perform clc;ctric ansiallation work for A-I Hthlll!J ,. A-4l:...
C4 rrl e /i"tt.t'I;~ (Name afp"yconlractdd~)
auhe following addres.s: .......~.J...)' 'i_ I../fJ1'/ v!...e t.v iN P.s r,1(.5~ ~ IS - ~ ~ 9.1
(,Addmll where: work will be perfonn~)
lb. n.tun: O!Jbe worle .OMists or, (Chock One or Jl_the N.....e of w.,k)
_.~Rccohnec:liCln ur nt:Wcinmit I'of rcplat'Clnezu Htatif18 PLant ~ndlor Ale ColJCletllnSf.
RecoMt:tt1cm or n=w cj~uJt f()f replaecment Et~lfic W&ter Heater or power VClJlted
waler beater, "
Reconnect Ion ofthc SCr\lice Entrance Cable, M~cr ~x., aJtc:t8tioa& to rec~11!t5
arld lipting fixtures due tn mding Iscffit ,m.talliUion. 'Note: New Suvjce
~ntrance Cables wit) require a separate pennie.
R.econn~tion or new are'lit for tile replacement of otl'rer permanently wj~d
l1ppH~ , fur.turcs.
New circuit for t~ addition of AIC man illdrvrdual dWfflli"8 1.4"'1 (house or the
;ndj"idu~18Y$tetm ill 11 duplex areondomimum). including requ.iTed SCMCl!
C.lcelriclll outlet!!.
Ocher
TJ,e "'Dllle u(thj, work is $...
.....-....--,
r hereby veriey this work wm be perfonned by an empJo~e oftbi~ <:nmpan:y and furrherverify
the r~CO!U1C'el;on / in~tanlltion win he done in compliance with mlVlu(aeturer and EJcelric code
f~u'rC1nc"b.
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:iiYrufturc of COlnplJflY Officer)
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(Prim Nlltnc ofOffi-cer)
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