HomeMy WebLinkAbout0123750-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 805 MINNESOTA ST
CITY OF OSHKOSH
No
123750
HVAC PERMIT -APPLICATION AND RECORD
Owner GERALD HENDRICKSON
Create Date 03/09/2007
Contractor A-1 HEATING & AlC INC
Fuel l!J Gas UOil
System o New
l!J Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A C) Chimney B
Heat Loss D As Approved . Existing
BTU Rate CJ As Per Plan o Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar
U Solid
o Other
U Vent
U Electric
~ Replace
U Steam
U Suppl.
() Direct Vent
U AlC I
U Con. Burner .,
. Not Applicable
o Not Applicable
. Other
Value
Value
80,000
Use/Nature Duplex (lower unit) / Replace furnace & ductwork. EIV provided by Bell Electric.
of Work
Fees: Valuation
$2,700.00
~
Plan Approval
$0.00
Permit Fee Paid
$50.50
Issued By:
Date 03/09/2007
o Permit Voided I
Parcel Id # 0903070000
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.
,02/19t2007 MON 7:38 FAX 1 920 733 2713 WATTERS PLUMBING
~004/005
ruy QrQlhlo,h
0'\., t\.ol) or traapt\.i.\l'" Ser"K't't
lI' ('hllN" A""...
PO 80, 1110
1)~\~...1t WI ~CqO'" no
Om... '10. Ill>-'O,O
F.. "n.nO-'Q~
Electric Installation Verlf1cation
I (We) t.ill-:..._...../AL e-t:. 1,..; Co.
(Electrical Contractor Name)
..1!.:q.:..__~ JI 2 /f/~rJ4.J,,,, ~i J'Y?S :2._
ddress) (City) (State) (Zip Code)
have been llnlrncle<l \0 perform electric iI1S\l)l1ation work for ~-I 1tf!~d-(~.7 eI- 4G...-.
/..t,t'llv ~"h,,,,, K~()LL 'lid'" JSJ6 (Name ofparty contracted to)
ttllhefoll wing address: SoS m'ttrr-e6Q~ ~f ()6-~k~~4 &.r~~,r:'\ Jj..va/'(1td.tr
(Address where work will bo perfotmed)
The nalllr of the work consisLs of: (Check One or Describe the Nature of Work)
_~ Rcconnection or new Citcllit for repl..ncemen ~~- ndlor Ale Condemer.
Reconnection 01' new Circ\IH for repl.accmcnt JO ater Heater or power vented
water heater.
R.ec.ollhection of the S~rvice Entflince Cable, Meter Box~ alt~.r\1tjo1\$ to recepl~lOil
l.ltld lighting fixtures l1ue to ~hti.og I soffit in..~taUation. Note: New Service
Entrance Cables will ~uite a separate pennit.
Rcconncction or l1\~W circuit for the replucanent of other permanently wired
applilUlces I fixtures,
New circuit for the addition of Nt to atllndiyidtm( dwetUng unit (house or the
individual sy.s\em$ in n d~~ptex or condominium). including required 8~rvic~
electrical outlets.
Other
....,
lh~ "'''\\le or Ihis work is $
-'
I hercoy v riry Ihis work will he pcrfonned by an employee oftbis company and further verify
Ihl..' reeOlll cetioll! installalion will be don~ in compHancc with manufacturer Md Electric [lode
l'C411irCI\H~ l\~.
~""'--")
.",..
--<.,> < <...-/ &(.-=1......
. .,4~--e-e~-;:/
; (:.'i~nal~ ~.~ oi;<:omp\\ny Offic~~)'.'--
~--~-
( -
. _2(?? !~:;ZI2'':'~..J
. (Prim Name of Officer)
z.- ( F -C,J:/
(Onte)
cftb #- 36 77
~1\11
~b ~
1,-'."l
":onnn/.l.n:1nt I T(YIJntl ~1T11 nlJl1 I'lIJT 111"111 tlJ
l-J. I": t . t I.nn:! I. t Cl:> t
City of Oshkosh
Division of Inspection Services
PO Box 11.30
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.
(t)
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 pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I ee Account S stem and have ade uate unds check here
/-0 Wr' r t:." vi ; f
DATE
~//ijo 7
JOB ADDRESS $'05 Innt1't,s"h/j > t C;1Alfv.(A .
OWNER !Jx.(bCd"c,\ fL ~/':-'('CtJo- (jfl.l.I-J k~tJtL Lc..r'j~lu/~ '1AJ-3J36 ')
CONTRACTOR A-I J!-et:.11h~'1 .;;. /J..l~ .((.1"1 ~\d'~ilJh:1 9),,1- 777 - }.''f;3 r
1:7 v
CHECK rtJ ALL APPLICABLE
USE CATEGORY
tJSingle Family. ~uplex
OMulti-Family
o Rental
OCommercial
OIndustrial
FUEL
JX1Gas
DOil
OElectric OSolid
OSolar
SYSTEM
ONew
~Other
~;~
TYPE
~Forced Air DRadiant DSteam ONC DVent DElectric DHot Water OSuppl.DCon. Burner
IS CHIMNEY BEING LINED~No DYes ~ LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CIDMNEY TYPE
HEAT LOSS
BTU RATE
OChimney A
DAs Arnroyed
OAs Per Pfan
I;J"chirnney B
JXlExisting
OVariable
DDirect Vent
DNot Applicable
/;KIOther Value
f" A " 1 ~ ""i-
-r---tt.'U^a<.f (/' C;4"e)jW,,"Lfj'j /~ <,P\{'~(
~Other iJl/ <..
DESCRIPTION OF ALL WORK BEING DONE
;?t:J, C't..) d
,
ELECTRICAL CONTRACTOR
Be [ (
v
6
.// Ih. 11
t,'- S ,,1 ( 5 oJ
\~
OR 0 Electric Installation Verification form attached{[f Replacement)
Electrical installation ofnew/replacemenr equipment shall be done by licensed COntractors.
. . llJ
~ lOt)
V ALUE (Including labor and all materials including light fixtures) $
deb fI- ci 6;117 /fJV\} (Cl