HomeMy WebLinkAbout0123751-HVAC (furnace)
G
OSHKOSH
ON THE WATER
Job Address 2113 ASHLAND ST
CITY OF OSHKOSH
No
123751
HV AC PERMIT - APPLICATION AND RECORD
Owner LAWRENCE/DONNA J STRATTON
Create Date 03/09/2007
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 C) 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
o Other
U AlC U Vent
U Con. Burner
. Not Applicable
() Not Applicable
. Other
Value
Value
60,000
Use/Nature ~FR / Replace furnace. EIV provided by Bell Electric.
of Work
$1,687.00
Plan Approval
$0.00
Permit Fee Paid
$35.50
Fees: Valuation
Issued By:
~
Date 03/09/2007
o Permit Voided I
Parcelld # 1516210000
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
AgenUOwner
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.
02/19/2007 MON 7:38 FAX 1 920 733 2713 WATTERS PLUMBING
~005/005
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Electric Installation Verification
I (We) t.(.U..~....~l~<..?-"; (..
(Electrical Contractor Name)
._fJ.q.:.. ~()?! 1/ g.._. /!J~~Jh!.t ~/, ,rY7S2..
Address) (City) (St.."1tc) (Zip Code)
clmtrll.clcd to perform electric in~'llllatioll worle. for tl~L 1/.<t:..t1:.rJ.r.~ ~ &'..-'-_,
'I;N _ ;13 If Y (Nnme of pm1Y contracted to)
:l\lhefoll wingaddress: J-IJ3 k~L&l'\J IT Of~I[r;~h J'~#'r~7 !/ief1fJ'-'i.
(Addresll wh()re WQTk will be pcrfonned)
11,e oatil C of the work consisls of: (Check One or Oescribe 'he Nature of Work)
Reconncction or new circuit fot replncement~g 'Pl~dlor NC Condenser.
Reconnection Of new eire\\.t fot' ft:placemcmt EIC<ltric Water Heater or power vented
water h~olter.
RecOMcction of the St:rvict:; Entrance Cable. Metor 80lt. alterations to rceeptll.e\o9
llnd lighting fixtures due 10 flitting /soffit in~taUation, Note: New Service
t:ntra>>cc Ca.bles will require a separate permit.
Rccormection or new circuit for th.e replacement of other pcnnanentty wired
applian<:es / fix.tures.
New circuit for the addition or Ale to un individulll dwelling unit (house or the
individual systems in (l d\lplex or eondomin\um). irlc.luding required service
c Icclricu 1 ont Ict~.
Olher
....,
The v"l\l of tilt!! work is $. .._
-....----..'
I hen:hy 'criry this work will ~ performed by an employee of this company and further "erify
lh.; r~c<J1 ncctiN\' inSlallatiol\ will be dune in compliance with manufacturer nnd Electric code
l'l:qlllt'(mWlll:1.
....----...-)
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dt ~ 3.)66
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--(Prim N~~ of Offic';;--
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City of Oshkosh
Division of Inspection Services
PO Box 1130
Oshkosh. \VI 54903-1 130
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
· 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
nomal pemit fee, which ever is greater.
OR
in' the Permit
our account
check here
JOB ADDRESS 9--//3 Ii:, I, Lt.tt J 5 t
OWNER 'j--eF-ftr"e'1 l/ie"'1cLt1.
{ -
CONTRACTOR A-I )/ee:.1-l;':; (j. /J..l~ .el"" ~\J';'Jllht'J
;>
DATE
:2./ /6/0 7
,
05 ~ J(()I, j,
LfJ-o .- ).3 't '1
9,;;lv '- J}y - 2-: '63 r
CHECK I:tJ ALL APPLICABLE
USE CATEGORY
~Single Family. DDuplex
DMulti-Family
ORental
o Commercial
o lndustrial
FUEL
~Gas
DOil
DElectric OSolid
OSolar
SYSTEM
ONew
o Other
W'Replace
TYPE
)fJForced Air ORadiant DSteam DAlC OVent DElectric DHot Water OSuppl.OCon. Burner
IS CHIMNEY BEING LINED ~No DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CIDMNEY TYPE
HEA T LOSS
BTU RATE
OChimney A
OAs Ap.nro"ed
DAs Per Pfan
D9himney B
~Existing
OVariable
DDirect Vent rRrOtherlvC
DNot Applicable
~Other Value tv, Ur.) 0
.
/';/.,r".J;I/tk....(J /u?~l<Q7fl'Vfl:r-
DESCRIPTION OF ALL WORK BEING DONE
ELECTRICAL CONTRACTOR
Ik~ { (
/1
~ 73; ...)' 0 1J1''Q
'-0') ')..
I
OR 0 Electric Installation Verification form attached(lf Replacement)
Electrical installa/ion of new Ire pIn cement equipment shall be done by licensed cOIl/mc/ors.
'")
I; i $7 "l->~
v ALUE (Including labor and all materials including light fixtures) $
del (~ ,3716
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