HomeMy WebLinkAbout0123752-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 821 W 6TH AVE
CITY OF OSHKOSH
No
123752
HVAC PERMIT - APPLICATION AND RECORD
Owner THOMAS G/BONNIE J SCHNEIDER
Create Date 03/09/2007
Contractor A-1 HEATING & AlC INC
Fuel l!J Gas LI Oil
System o New
l!J Forced Air U Radiant
LI Electric U Hot Water
Chimney Type D Chimney A C) Chimney B
Heat Loss KJ As Approved . Existing
BTU Rate () As Per Plan o Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
LI Suppl.
o Direct Vent
U Solar U Solid
o Other
U AlC U Vent
LJ Con. Burner
. Not Applicable
C) Not Applicable
. Other
Value
Value
60,000
Use/Nature SFR / Replace furnace. EIV provided by Bell Electric.
of Work
.
Fees: Valuation
$1,687.12
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Plan Approval
$0.00
Permit Fee Paid
$35.50
Issued By:
Date 03/09/2007
o Permit Voided I
Parcelld # 0605140000
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.
02/1g/2007 MON 7:37 FAX 1 920 733 2713 WATTERS PLUMBING
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Electric Installation VerUlcatlon
I (We) t.~U .~.__P{:~G.1- N' l- ~ ._.
{Electrical Contractor Name)
. P"':?.:.._fux 1./ 3...._ /fJ~114Jh!L IV' .)r~s 2..
( ddress} (City) (State) (Zip Code)
mHraclcd to perform electric il1slllllatiolt work for d.-( tft::(J'rJ.,;;~ ~ AI G
0\3:3- 76/ '2 (Nnrne ofpnrt)' contracted to)
~~ J 'vJ 6th II..;€. tis;" J1v~ ~ rJ)t2 '#'II<. ~ 5chlk-,'t~f'
(Address wh~re work wl1l be perfonned)
(Check One or Describe the Nature:; of Work)
Reconnection or new circuit ror r~laccment~im~ P~andlor Ale COl'ldet1lJer.
Reconnccljon or new circuit for replacement Electric Water Heater or power vented
\Valer heater. ,
Reconnection of the St:rvi~e entrance Cable, Meter ao~, alterations to recet)tllClo9
I1ncllighting fixtures due to !\iding I soffil installation. Nbt~: New SCrYlce
entrance (:~ables will require 11 eeporate permit I '
RccoMncction or new circuit for th,e replaccrnont (>f other pcrm.anenlly wind
l1ppliWlCe~ I ftxtures. I I
New circuit for the addition of Ale (0 IlO indi\liduul dwelling .intI (house or the
individual systems 11' U l1uplex or condominium), includmg required SIJl'Vic~
electrical outlets, I '
O,her .
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Th( >illlI\': of,hill work is $
-'
I her~hy \' rify \his work will he "erfonned by an employee of this comp;my and further verify
ln~ fl~C:Onl celion I in:>lnU3tion will be done in compliance with manutaetJ~r and Electric code
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(S'~nai\ ~'~ CiCOtHIH,I1Y Offi~~7-)""-
~.?~ J~<C(9.j _
(Print Name or Officer)
I ;Z -11-<,.1'1
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I ~1\12
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I W.Ir:I! I ),on:1 ),1 ('\~ I
3790
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r:nnOOJ,,o,O:lrl tiT rll~n:') 1'1 T II ntJIJ F11J T 111'11 t II
City of Oshkosh
Division of Inspection Services
PO Box 1130
Oshkosh, VVI 54903-] 130
Phone (920)236-5050
Fax (920) 236-5084
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HVAC PERMIT APPLICATI N
All information after bold categories must be prol~ided.
Inoomplete 'pplk.tinns will nnl bo P'OCOS'l
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed t~ Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result n1fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.' : I
OR 'I
ou are a contractor artici at in in' the Permit ee Account S stem and have ade uate unds check here
ou want this rocessed throu hour account.D
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OfHKOfH
ON THF W^TER
DATE ~//6/o7
JOBADDRESS ga--; LvI 6 f"/ IIYe O'5~J{:;-",A I
OWNER d-hu tnt, S ~5 Lh r) e ",. ~ t' f' J..33 ,.-' 76/ <i ,
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CONTRACTOR A-I Ilee:.-tlitr.'} oJ./j..,;" C:v"I~,d'~Jf1htl 9,;'I"'-7j7-}'"~3r
v .y i I
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USE CATEGORY I
~ingle F~amGjlaYs' DDuplex OMulti-Family DRental OoCJ'.ewirnerCiaJ
FUEL OElectric OSolid SYSTEM ~eplace
DOil DSolar D ther
M~~ed Alt DRadmnt DSleam DAle DVent DEleemc DHot Watct DSuppl. bon. Burner
)zj' , I
IS CHIMNEY BEING LINED No DYes - LINER SIZE, & MA: FACTURER
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ttbther 111/c.
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CHECK Ii1 ALL APPLICABLE
OIndustrial
Note: All chimneys shall be sized per the BTU's being vented.
CIDMNEY TYPE
BEAT LOSS
BTU RATE
DChimney A
DAs AplJr,oyed
DA-s Per Pfan
DChimney B
~xisting
OVariable
oDirect Vent
oNot Applicable
OOther Value
DESCRIPTION OF ALL WORK BEING DONE
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VALUE (Including labor and all materials including light fixtures) $ /' ,1 S ' 5 0,41 /liv
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ELECTRICAL CONTRACTOR OR 0 Electric Installation erincation form attached(lfReplacement)
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Electrical installation ofnewlrep cement equipment shall be done by licensed Contraelors.
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