HomeMy WebLinkAbout0123513-HVAC (space heater)
-.
OSHKOSH
ON THE WATER
Job Address 352 W 15TH AVE
CITY OF OSHKOSH
No
123513
HVAC PERMIT - APPLICATION AND RECORD
Owner NANCY J MEYER
Create Date 01/29/2007
Contractor A-1 HEATING & AlC INC
Fuel ~ Gas UOil
System D New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type .. Chimney A () Chimney B
Heat Loss () As Approved () Existing
BTU Rate D As Per Plan o Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
~ Replace
U Steam
U Suppl.
o Direct Vent
U Solar U Solid
D Other.
U.AlC U Vent
. U Con. Burner
o Not Applicable
. Not Applicable
. Other
Value
Value
50,000
Use/Nature Duplex! Replace space heater.
of Work
Fees: Valuation $1,100.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$26.50
Date 02/15/2007
D Permit Voided I
Parcel Id # 0904500000
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 ifthe 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 IDD
Oshkosh, VVI 54903-1130
Phone (920)236-5050
Fax (920)236-5084
E~;!~E~
DEPARTMENT oDfHKOfH
HV AC PERMIT APPL~a'fl~~ DEVELOPMENT THE WATER
All information after bold categories must be provided.
Incomplete applications will not be processed.
· 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
nonnal pennit fee, which ever is greater.
OR
I
ee Account S stem and have ade uate unds check here
JOB ADDRESS 3 5 1. w /,S 1-~ ftf/e. tJ.{ ( Ire; J ~
OWNER ~'H..y Me')-pr/ h-f111 VAJ i\~(' )..31 ~a()5 "-
CONTRACTOR A-I JI-ee:.1,;':; cj.fi,~ C(."'I~,JI~Jl/i1tJ 9,:;'lJ-7jy-~:f;3f
. ..:>
DATE
IJPl!!t
, -
CHECK Ii?J ALL APPLICABLE
USE CATEGORY
OSingle Family. )~buplex DMulti-Family
DRental
DCommercial
o Industrial
FUEL
fiGas
DOil
DElectric DSolid
DSolar
SYSTEM
DNew
OOther
;aRep lace
TYPE
DForced Air DRadiant OSteam OAlC OVent OElectric OHot Water DSuppl.OCon. Burner ,~~( ('
IS CHIMNEY BEING LINED J@"No DYes - LINER SIZE & MANUFACTURER
Note: All <;himneys shall be sized per the BTU's being vented,
11 e.,.,1'rl'
CHIMNEY TYPE
REA T LOSS
BTU RATE
~himney A
OAs Ap.Dt.oyed
OAs Per Pfan
DChimney B
o Existing
OVariable
ODirect Vent DOther
DNot Applicable
DOther Value S"C), 0", D
.
DESCRIPTION OF ALL WORK BEING DONE
.5fJrh ,~~ ~a~
~D1 /L
~\ \ b6\/
I~
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V ALUE (Including labor and all materials including light fixtures) $
~/U()'(}'?
~86'J'O
ELECTRICAL CONTRACTOR
OR 0 Electric Installation Verification form attached(lf Replacement}
Electrical installation o/new/replacement equipment shall be done by licensed COn/melors.
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