HomeMy WebLinkAbout0123514-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1028 TYLER AVE
CITY OF OSHKOSH
No
123514
HV AC PERMIT - APPLICATION AND RECORD
Owner DELORES DaNKER
Create Date 01/29/2007
Contractor A-1 HEATING & NC INC
Fuel ~ Gas UOH
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type o Chimney A () Chimney B
Heat Loss r) As Approved . Existing
BTU Rate KJ As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
U Solar 0 Solid
o Other
U NC 0 Vent
- U Con. Bumer
. Not Applicable
() Not Applicable
. Other
Value
Value
60,000
Use/Nature SFRI Replace furnace, install 3" chimney liner. EIV provided by Bell Electric.
of Work
Fees: Valuation
$1,687.12
~
Plan Approval
$0.00
Permit Fee Paid
$35.50
Issued By:
Date 02/15/2007
o Permit Voided I
Parcel Id # 1607440000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is no1.a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
we078 HILLCREST CT
HORTONVI LLE
WI 54944 - 0
Telephone Number 920-779-8838
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless speCified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
02/14/2007 WED 16:34 FAX 1 920 733 2713 WATTERS PLUMBING
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! EJeetric Installation Verllication
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I (Electrical CQnlrador Name)
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(~ddress) (City) - (Sto1tC) (Zip Code)
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llilvc hceu ~rt"tr~lcd \0 pcrronn electric in$ta.l1tttion work. fUJ _ A-/ Hr:!~rf,~ r #l:::.
! (Nome of' par1)' contracted tv)
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at the fot"IJl)Jing address: ()4Lu CL.L_tk" kt: c _'f) 2. 8' 'j., L~ r ~..,.. O~ H
I - . (Address where work will bel perfonncd)
The .""'.f ,h. wort< .....1... of: (C"<<k On. or Deseri.. lite Natu~.r Work) "
.-. tXecOtll'\CCtiOf1 or; new circuit rc,r replacemenc ~ns P~Of Ale Condonser.
~-=+ Reeonn<<Uoll Qr new ci~\Iit r()r rl:ptaecmcnt Electric Wllttr Hcatc:r Of po~r vented
! ~ilIter Millet.
-~l" Recot\ncct;on oJ:thc S~l'\Ii<:l:' Entranc c Cable. M. eter B. oX. altuation9 to rectptae.. lea
and llghtmg fiJttures due to !\iding I soffit tnstall.Alion. Note:: New Sefvicl;
cn.ullnce Cl!b les wlU tequjre a Separate pennit.
_-1 Rcconno::tion or 11ew ci~"it for \h..c: rcphlct::tnent of gthcrrpc:nnanently wired
I I1l'pliaoce:s I fixtures.
-j' Nt:w circuit fe>r the QddUiQn of Ale Co un "Idly/dual tfweJriltg unit (housr. or the
it\divi~hl:tl system~ in \l c1~\plclC. or ~ntlomin'um). including required lervic~
i. ctcctriCil\ outlets.
-: ()t her
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l1~t vnhlc~t'his work is !...
i _
I hcrchy \'~riry this work will he perfonned by ttn employee o/this company and fbrther veriry
lh~ f7C0l1ltCliOU f inSll\Ualion witt be dl,)nc in .:omplianee with manufacturer and Eleetric ~ode
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. (Signahtr<: of(:.;;mpiUW Officcrt
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Wd9S:S ~002 vI
City of Oshkosh
Division of Inspection Services
P,O, Box 1130
Oshkosh, VVI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVED ~
JAN 2 9 20u( ~
DEPARTMENT OF 1-1KO H
HV AC PERMIT APptq~~lV1~DEVElOPM
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 pennit(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 alin in' the Permit ee Account S stem and have ade uate unds, check here
ou want this rocessed throu h our account
JOB ADDRESS /0:;'" "i ir~l' ~ r bS-j,,/ft?~ ~
OWNER lJeLb 1''t!>S l)os1t(n'" ~31-/7S6
CONTRACTOR A-I JI-ee;,7-l;"'1 .;j./).l~ CfNI~,J,~JrJ"Vj 9.~v-7J7-2fl3r'
v .;>
DATE
/ /3/07
I ,
CHECK ~ ALL APPLICABLE
USE CATEGORY
~Single Family" DDuplex DMulti-Family
DRental
OCommercial
o Industrial
FUEL
%Gas
DOil
OElectric OSolid
OSolar
SYSTEM
ONew
o Other
tfReplace
TYPE
tiForced Air DRadiant OSteam ONC OVent DElectric DRot Water OSuppl.OCon. Burner
IS CHIMNEY BEING LINE~o M'Yes . LINER SIZE J II & MANUFACTURER 2;4;.. y'
Note: All chimneys shall be sized per the BTU's being vented.
CffiMNEY TYPE
HEAT LOSS
BTU RATE
OChimney A
OAs Ap.w;oyed
DA-s Per Pfan
DChimney B
~xisting
DVariable
DDirect Vent ItOtherl1 V C.
DNot Applicable
~bther Value ~/ ii 0 V
DESCRIPTION OF ALL WORK BEING DONE
P/UYV~.e .~~rS
ELECTRICAL CONTRACTOR
&CL
- ~ 61.L
---tJ. \\ t}l
~36:5'O \0'
VALUE (Including labor and all materials including light fixtures) $ 16?7'/ 2
~b ;:r 36J.-1
/fJilO C ''\ ;?
OR 0 Electric Installation Verification form attached(lf Replacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors.