HomeMy WebLinkAbout0122924-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1822 OHIO ST
CITY OF OSHKOSH
No
122924
HVACPERMIT-APPUCATION AND RECORD
Owner MARK AlBRIANA L HARMON
Create Date 12/12/2006
Contractor A-1 HEATING & AlC INc;
Fuel ~ Gas UOil
System D New
~ Forced Air I U Radiant
U Electric l U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss D As Approved . Existing
BTU Rate . As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
D Other
U AlC U Vent
U Con. Burner
. Not Applicable
U Electric
~ Replace
U Steam
U Suppl.
() Direct Vent
o Not Applicable
() Other
Value
Value
Use/Nature SFR /Replace furnace. EIV provided by Bell Electric.
of Work
Fees: Valuation
$1,687.12
~
Plan Approval
$0.00
Permit Fee Paid
$35.50
Issued By:
Date 12/15/2006
D Permit Voided I
Parcelld # 1407600000
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] 130
Oshkosh, \VI 54903-1 130
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
· App]ication(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
nonnal pennit fee, which ever is greater.
OR
I
check here
JOB ADDRESS / g J-1. Olu'o 5 I
OWNER /11" V f\ tI tl ffJ1 tl ;'\1
CONTRACTOR A-I jJ.e~71;':J 0- /J..I~
!Js!,Jro>J,
'1/0 - 7S7 &
DATE
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DEe 1 2 2006
CHECK ItJ ALL APPLICABLE
USE CATEGORY
r~ing]e Family. ODuplex OMulti-FamiIy
DEPI~RTMENT OF
COMMUNITY DEVELOPMENT
ORental
OCommerciaI
o Industrial
FUEL
PtrGas
OOil
OElectric DSolid
DSolar
SYSTEM
DNew
o Other
~eplace
TYPE
I)fForced Air ORadiant OSteam ONC OVent OElectric DHot Water OSuppl.OCon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE & MANUFACTURER
Note: AI! chimneys shall be sized per the BTU's being vented.
CIDMNEY TYPE
HEA T LOSS
BTU RATE
DChimney A
OAs Ap_r;!rnved
!)tA.s Per pian
OChimney B
q€xisting
oVariable
oDirect Vent MOther fJvL
oNot Applicable
oOther Value po (j ~7 0
DESCRIPTION OF ALL WORK BEING DONE
V ALUE (Including labor and all materials including light fixtures) $ /,1 If JJ} , I 2.
~LECTroCALCONTRACTOR
!j-el[
~S"fO
d~~ II'- 30/'13
OR 0 Electric Installation Verification form attached(lf Replacement)
Electrical installation a/new/replacement equipment shall be done by licensed ContrOClors.
12/11t2006 ION 13:55 FAX l' 920 733 2713 WATTKRSPLUMBING
~012/016
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11$ <'Iluo<-~ "'""*'
PO Bol. 11)0
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(1l!Ict: l1lIl-l'~.SCl~
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Electric lnstaJJBtlon VerltieB11o.b
J (We) 8etL _!;L..!~i "I~L ~b (JA :3 '1C/]
("Electrical Conttaclor Name)
___~.o...._ 80lf II ~ lll~n~J 6fi'. tN; S'y is'2.
(Addres!il' (City) (StliStc) (zjp Code)
hove been t:nntreC1ed to perform eJeettican.tUJJlatiOl1 work for /l-I H~rJ./"~ ,. ~/ ~
!JJ"FX H",.;o ,"0 '" (Name ofpany con1tBcted to)
al thefoUow.ng addreM; --LJ1.:... 'j, O~'~.Jr (J.//'I('''!I'' ~/().'" ] S? h'_
,(.Add~sg where work will be p:d'OftDed)
'1oe nature l)f the wOOc Ccn81sts of: (Checfc One or Oesc;ribe Ibe Namr~ of Work)
-.Lt'I\....,..",II"" or new .jroult for reploeom..,. H"';ng Plont and/or AIC ~CI,
ReccMettioQ 4)f new d~lit for rcpl.cemcnt ElectrW Water Heater or po~ vented
"'aler healer.
:R.ec<>tlt1e<:tiQTI o[th", ServiCE Entrance C.,fc:, Mctq' Box. .lteratj(ltl~ to l'C!cep&aclee
and lighting .f1~tutes due t3 Riding lll.oA'it iDlltaJlation. NolO:- New Service
2Jttrq<< Cables wiIJ require a Jep&rafe pennie.
ReC<lMection or new circuit tor the I'q)la<:ement of ocher Pcnnancntl" wind
appliances I fbtlure~. .
New cjrcust for the addition or Ale (olin individual r!lWlifiltg '''';~ (house: or the
iltdi"iducd SYS1C1'nS in :1 duplex or c~mrniul1'l). iltcludinS required ael'Yi~e
Cle<tricllloutlets.
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1),e vallie ofthill work ;s $.__
I hereby \i~'J'ify this work wHl be pt:rthnnert OJ an Clnployee of !bit company and furtherVC!rify
tftc rceollflectiolll installation will be done io compUlUtcc with manu(llClUJer end Electric code
r~qU i rell'C~I1[S.
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(Si!:-'f1~fUr~ or Camp.my Officer)
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("Tint NuO]c orOfficer}
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(Date)
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