HomeMy WebLinkAbout0122914-HVAC (furnace & ductwork)
~e.
OSHKOSH
ON THE WATER
Job Address 1117 MERRILL ST
CITY OF OSHKOSH
No
122914
HV AC PERMIT - APPLICATION AND RECORD
Owner NAO/LHOUAlVONG LOR
Create Date 12/12/2006
Contractor A-1 HEATING & AlC INC
Fuel ~ Gas UOil
System o New
l.!:J Forced Air U Radiant
LJ Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss K:) As Approved . Existing
BTU Rate . As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
~ Replace
U Steam
U Suppl.
o Direct Vent
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
. Not Applicable
() Not Applicable
C) Other
Value
Value
60,000
Use/Nature ~FR IReplace furnace and ductwork, 3" chimney liner. EIV provided by Bell Electric.
of Work
Fees: Valuation
$3,261.12
~
Plan Approval
$0.00
Permit Fee Paid
$59.50
Issued By:
Date 12/15/2006
o Permit Voided I
Parcelld # 1008210000
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.
12/11/2006 ION 13:55 FAX 1 920 733 2713.WATTERS PLUMBING
~016J016
,,"-'
&
l'lI, Orv,-..ll.'~
I)IMslOoIftr.....1kt~ ~1<<1
3:1' ("~.,." A_
T'080~ tl)O
0I/lIa..c. WI ;H9tlH 1311
OMa !Jlo.2:lI6-.suo
~'.. 9111.ne)..IOI\ot
Electric ,Installation' Verlftea-tlol1
I (We) ~el:-~if.L._!-~1~~t.. Ov6 ~;;~(J6
(Electrical ConCracUx Nam~)
..-i:2.....~~~ J) j .Il1..Pf1~J hA . hi I }'"~ i:{' 2..
(Address) (City) (State) (Zip Code)
hn\lc bcttl contracted \0 pl:rfDrm electric i!Jstadl4fion work tor 1/....1 Jlt~d-IIt:; ~ A/t...__,
(N~ of party' contracted to) .
allhefolJc,winSiddreSB: ~ iI!tf': t.#, II)Z_/lJ(I,."',LL~r~JJI(#14 6'S/"'()3IJ
' . (Addres; wberework will be pcrfanac:d)
The nature: of Ehe work COO:9iSllJ of: (Check One or .Describe the Namrc 'i.lr Work)
r R.econ.ooU.. .....w ""'nil r., "Pl_ Ii..,;., Pion, andIot Ale COJJdeftJn:,.
'---.... Reconntecti01l Of nc:w ~j~nit for ~l.ceroenl Electric Wa~~ Hcaler or power vcnced
water ha1cr. ;
ReCoMcction (lfthe Se......icc Entranc0 Cable, MeterBo.x, altetatio,,- to receplJl.Cltl9
. I1I1C lj8btin~ tixtures due to 3jding I soffit ;lIstaJlation. Note: ~ 50",j(;0
Entrance Cabla will requite a sc;pararc permit.
RCMnnoctiOt1 or new circuit for1herep'llcemenl DC other permaneo:tiy wired
applUlnces I flXtUtl:li.
Nt.'W circuit for the ~ddilion of Ale to 3llrJ<<!twdlHll ~llihg unit (hous~ or the
individual systems hill duplex or condominium)) .ncludin,g required AOl'YlCe
cleclriclIl oudet!-J.
_ Oth~r
.-----............-.
--.........--...........:..
..-----.....
nll~ ""hICl I)flllj~ wc>rJc is $...
-. .
.'
I "erc~)' "(fify 1his work wm h~ pet'fonned by an empr.,yee ofthi& company andifurtherve1iry
II).; r~con"ce'iot' J in:Slallation will be dOIl~ in ~mpltanc:., with manufaoturer ..it ,EJcctric cock
r~qUlremcllt~. .
2 -..
,"",' ,..--: ~ .
" ..../ _ r;;L~~___
(~il~aHlr~~ OfCOI1'lI'omy Officer)
2(\(~ fi4:~
(Prinl N~c or om~r)
_/2.''''( 1",<] ~
. (Date)
~I'll'!
~t -d
n~ I rlrr~n~ HIH "~H ~~TIH~H IH
~nRR~/.I. ....R
WH!ttA ~nn? tl Qen
S 1 . d
50S S Sl.l. 0 2 S.l
"d.SO:OlS002 11 daa
lIa~O~ ~I~ a~~ S~Il~3H l~ ~
n
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, \VI 54903-1130
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 THE WATER
· App I ication( s) and f ee( s) can be brought to City Hall, Room 205 or mai led 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
nonnal pennit fee, which ever is greater.
OR
1 ou are a contractor artici atin in' the Permit ee Account S stem and have ade uate unds check here
ou want this rocessed throu h our account
JOB ADDRESS
OWNER Y I <4. No. {r lb f'
, ~
CONTRACTOR A-I JI-et:.71),:; .,. fi l~
/ 117 /)JerrI LL ,f'r 0.51; ~)h
,(S/- 03/'
DATE
///;'7/06
, I
c.'v,', ~ldt~.;/)i7&'l
v
r~
C
91-1,"- 7)'j - j<'KJ}- C 1 2 2006
DE
DEPARTMENT OF
COMMUNITY DEVELOPMENT
DCommercial o Industrial
E
EI
CHECK 0 ALL APPLICABLE
USE CATEGORY
f"~Single Family.
ODuplex
OMulti-Family
ORental
FUEL
PfGas
OOil
OElectric oSolid
oSolar
SYSTEM
ONew
o Other
;:(Replace
TYPE
~Forced Air ORadiant OSteam oAlC oVent OElectric DHot Water OSuppl.oCon. Burner
II
IS CHIMNEY BEING LINED ONo ~es - LINER SIZE 3
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER .:< - /J{ t')C
a\\~tC\A
\ \"~
(j l)-tvdJv~~ ~l'e/~
t:f'Other ;Jv c
CillMNEY TYPE
HEA T LOSS
BTU RATE
OChimney A
OAs Ap_~rnved
~A.s Per Pian
oChimney B
dffixisting
OVariable
ODirect Vent
ONot Applicable
OOther Value
I/J,fr/lt?
,
DESCRIPTION OF ALL WORK BEING DONE
/' ~~tf!.
VALUE (Including labor and all materials including light fixtures) $ ~ 2.. 6 J ./'2-
,( 5'7,50
r-~ECTRICALCONTRACTOR
OR 0 Electric Installation Verification form attached(lf Replacement)
Electrical installation a/new/replacement equipment shalf be done by licensed con/raCial's.
tJt ;r 3606