HomeMy WebLinkAbout0122917-HVAC
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OSHKOSH
ON THE WATER
Job Address 1013 VAN BUREN AVE
CITY OF OSHKOSH
No
122917
HVAC PERMIT -APPLICATION AND RECORD
Owner DELORES E YANKO ETAL
Create Date 12/12/2006
Contractor A-1 HEATING & AlC INC
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type U Chimney A () Chimney B
Heat Loss () As Approved . Existing
BTU Rate . As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
U Solar U Solid
D Other
U AlC U Vent
U Con. Burner
. Not Applicable
() Not Applicable
() Other
Value
Value
60,000
Use/Nature SFR /Replace furnace, 3" chimney liner. 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 # 1607380000
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.
r
City of Oshkosh
Division ofInspection 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
· 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 permit fee, which ever is greater.
OR
J ou are a contractor artici atin in' the Permit ee Account S stem and have ode uate unds check here
ou want this rocessed throu h our account
JOB ADDRESS /0/ 3 11t: n !jf4 v-e /y ;e}./ e
OWNER A vfJVt'V y~ VI 11 ()
I
CONTRACTOR A-I J/et:.-1);':; (j. /J..l~ L~""l ~,d'~iIJi1p)
v
DATE
tJr 6 If f? .~ /1
:J3 J - g 3 '17
'.",\ ,,"? 'l."'"
~;2,,1_7Jy- ~ fj,J ~
CHECK ~ ALL APPLICABLE
{". US~ CA TEG?RY
. CSlSmgle FamIly. ODuplex
DMulti-Family
ORental
o Commercial
FUEL
ri'Gas
DOi!
ONew
o Other
OlReplace
DElectric OSolid
OSolar
SYSTEM
[J
.:
//~77/o 6
/ -
E EI
IiF""
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"',
DEe 1 2 2006
, DEPARTMENT OF
COMMUNITY DEVELOPMENT
o Industrial
!)'PE
~Forced Air DRadiant OSteam ONC OVent DElectric DHot Water OSuppl.OCon. Burner
IS CHIMNEY BEING LINED DNo r;tVes - LINER SIZE ,3 r! & MANUFACTURER 2- h~y
Note: All chimneys shall be sized per the BTU's being vented.
CIDMNEY TYPE
HEAT LOSS
BTU RATE
OChimney A
DAs Ap.2ooyed
;~t<\s Per Plan
DChimney B
~xisting
OVariable
DDirect V ent ~Other (J II L
DNot Applicable
DOther Value 60 t;!jJ(,)
DESCRIPTION OF ALL WORK BEING DONE
1\
\
V ALUE (Including labor and all materials including light fixtures) $
Lite
~'g7./2
0,ELECTRlCAL CONTRACTOR
las.5o
OR 0 Electric Installation Verification form attached(lf Replacement)
Electrical installation of new/replacement equipment shall be done by licensed cOn/mC/ors.
eft) /, j:p.. 3 [; 0 /
~ 12/11/2006 ION 13:54 FAX 1 920 733 2713 WATTERS PLUMBING
~ 004/016
0&
ell)" of'Cl.sIllU!6
ex-Ml" of 1""*11 ~r.
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om. ~."..,.Xt
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. , .
Eleetrie Installation Verltlcation
fu..U:._J1lf!~/!rf Co. a(l~ pa. 3 $0 I
(Eh:ctrical ComrllCtOl' Name)
.-.--&.. ,6oX' Ii ~A_ /1I-~1a ~I ';""$2-
(AddreSs) (City) (Stato) (~tp Code)
ha",c be!:" c:cm1ta<:ted \0 pet:form clcctrie itt9141lltion work for A-.1 Ht!.(;.,J,ht:1 r .If! L
AI(c!~t y ~ # J{q (Name orparty cOntracted to)
llllhe following addresa: ___!..fJ /3 V t.11'\ ~ f,( !..f ,., /J..re.. t7 s " ~ ,11 ,;q 1- :I 3 'I?
(.Addre. where work win be per{onned)
1 (We)
The nallAre of lhe wade: consists f)f: (Check One or Describe 1be Nature of Work)
_~Reconnccuon or new cil'Cluit far replacement Heating Plm,' udI<< NC Condeuer.
RC!COM~ttion or new ~ult for replacenlct1t Electric Water Heater or power venftd
water heilltCf. t. . .
Rceonnection oCth.c S1!irvice Entrance Cable. Meter Boxl altet8tkmt to~~lM
and lighting fll'C1\Jresdue to Ilkiingl soffit inS1allation. Note: New Se""icc
Entnnc::e Cab~ will ~uire a separate pennil.
Recon>><<tion or n~ circuit fQr the replacement of olh-=r l'ennanmtly wired
appliAR<:e& I filC.tures.
New cir~uit ror the addition or Ale to 81'l/"div;duul dwl1lltng flItit (.hQUSC or the
individual systemsf" G duplex or condominium,. includins ~uired &eM"
ctCClriClll outlets.
_ Other
----..-....
----....--.--..........---......--.
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'n\~ Vi\I\lc oftJ1i~ work is S..
I hereby '\Ic:rify this work wilt he pcrfonncd by IIn lm1J71oyee of this I:ompan)' and further verify
th~ nl:<Jn"~elion I inslaUatiOll wjJJ be done in compti*1cc with manuCactu",r lIftd ElClCtric code
rCtluirell1t!nb.
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(Sign..fur~~ 01' Company Omcer)
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