HomeMy WebLinkAbout0122921-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 507 STANLEY AVE
CITY OF OSHKOSH
No
122921
HVACPERMIT..APPLlCATION AND RECORD
Owner JOHN/SHiRLEY LUcAs REV TRUST
Create Date 12/12/2006
Contractor A-1 HEATING & AlC INC
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric. ...--1 U Hot Water
Chimney Type o Chimney A () Chimney B
Heat Loss KJ As Approved . Existing
BTU Rate . As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar
U Solid
D Other
U Vent
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
U AlC
U Con. Burl1erl
. Not Applicable
o Not Applicable
C) Other
Value
Value
80,000
Use/Nature SFR /Replace furnace. EIV provided by Bell Electric
of Work
$1,754.73
Plan Approval
$0.00
Permit Fee Paid
$37.00
Fees: Valuation
Issued By:
f1~
Date 12/15/2006
D Permit Voided I
Parcelld # 1209150000
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.
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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 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 ou are a contractor artici atin in' the Permit check here
ou want this rocessed throu h our account
DATE
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JOB ADDRESS
OWNER '-~ Oil hl'"{
CONTRACTOR A-I
///J-7/06
.
E€ E IVE
CHECK &'J ALL APPLICABLE
USE CATEGORY
r'! %Single Family.
DEe 'I 2 2006
DEPARTMENT OF
COMMUNITY DEVELOPMENT
OCommercial o IndustriaI
'.
ODuplex
OMulti-Family
o Rental
FUEL
~Gas
OOil
ONew
o Other
DElectric DSolid
OSolar
SYSTEM
[)Replace
. TYPE
ft[Forced Air ORadiant DSteam DAlC DVent OElectric DHot Water OSuppl.OCon. Burner
IS CHIMNEY BEING LINED WNo DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CIDMNEY TYPE
BEAT LOSS
BTU RATE
DChimney A
OAs Annroved
~o\s Pe; Pfan
DChimney B
~xisting
DVariable
DDirect Vent Jaother A..... C.
ONot Applicable
OOther Value J"O" t) 1;' fl
DESCRIPTION OF ALL WORK BEING DONE
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V ALUE (Including labor and all materials including light fixtures) $ // ').'i II" /} 3
r\ELECTRICAL CONTRACTOR
/J"t'1 (
OR 0 Electric Installation Verification form attached(lf Replacement)
Ek'ctrical installation of new/replacement equipment shall be done by licensed con/mctors.
(}6P 371Y7
137,(j()
12/11L2006 ION 13:54 FAX 1 920 733 Z713 WATTERS PLUMBING
~008/016
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The nat1U'e of the work consist:; of: (Check Orloor I:.Jacr1b~ the NaIUi't ot' W<<k)
'-' Re<:onncc:lioQ or new lOircuit tOr ~~~t I:i.~ijag. JlJ..aist ~otAJC qond~uIQ'.
- Reconnectioll Of n~~ircuH ror replacement EltCtdc Wa.e:r Heater 'Or powet vt'nted
walet bealcr. , . '
Recc>nnection ot the SlIiIrvlc:e ijntranc.c: CIIbIe, Meter 9ox., ~ti<<w 10 ~t&;&.
and l,isbting fi)(tu~ du~ t~ Ai~981 softie ~.I~,,1iQII. Note: New ServJI:O
Entrance Cables w ill. requ~ . !~if; pantit'.
Re.co21J1tx:tion or neW cireuit for t~ n:ptaC:=QI 9f OCher PennmenUy wired
appJ.j~es IlbctU1'e$. .
New <:irctdt,ror tbe additiol1 of Ale lo,ahJ~i1ljd~1 dwfrll~g u,,(~ (~Se- ott,be
iRdi vidual $)lsterns in a duplex or cortdomlnium), jncllJdins teqUlred.~
clcclticaJ au.lots, .
_ Other
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Tnt! v;:alue oflnisworJr: is $..
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I hcrcfty verify lhJs work will be perf'otm.ed o.yan employee ofChjs.co~pu.y and.;fUl"lhervqify
Ine reco"I1C:<:tton I installation will be done in compllarlcC with manufacl\laW B8d 'Electric c_
reqlJircmlmts.
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