HomeMy WebLinkAbout0124335-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 654 W 11TH AVE
CITY OF OSHKOSH
No
124335
HV AC PERMIT - APPLICATION AND RECORD
Owner LUIS CORTES-DELGADO/ALMA AVILA-INI
Create Date 04/20/2007
Category 502 - Residential-Both
LJ Electric
R'J Replace
LJ Steam
LJ Suppl.
() Direct Vent
Plan
J Solar LJ Solid
D Other
~ AlC LJ Vent
I J Con. Burner
Contractor A-1 HEATING & AlC INC
Fuel I Y'j Gas LJ Oil
System D New
~ Forced Air LJ Radiant
I J Electric LJ . Hot Water
Chimney Type D Chimney A C) Chimney B
Heat Loss D As Approved . Existing
BTU Rate () As Per Plan () Variable
. Not Applicable
() Not Applicable
. Other
Value
Value
80,000
Use/Nature SFR / Replace furnace and AlC, some ductwork. EIV provided by Bell Electric.
of Work
Issued By:
$4,600.00
~
Plan Approval
$0.00
Permit Fee Paid
$79.00
Fees: Valuation
Date 04/20/2007
D Permit Voided I
Parcel Id # 1304060000
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.
....
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City of Oshkosh
Division of Inspeclion Services
PO. Box 1130
Oshkosh, \VI 54903-1 130
Phone (920) 236-5050
Fax (920) 236-5084
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OfHKOfH
ON THF WATER
HVAC PERMIT APPLICATION
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
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
if you want this processed through your account n
DATE
'-/.//6/07
JOB ADDRESS 6 S 'I tv II .t~ lJ"e 0<511/(0.5~
OWNER L~ ,:S {vr 'fe5 ~3 ~ - 6 FY 7
CONTRACTOR A-I JI-et:.71i.:; ;;j. fi l~ CVll ~\d'~JI1hq
o
g~~_7jj>J::t~CEIVED
APR 2 0 2007
CHECK ~ ALL APPLICABLE
USE CATEGORY
~ingle Family. ODuplex DMulti-Family
DRental
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
o Commercial DIndustrial
FUEL
PfGas
DOil
OElectric OSolid
OSolar
SYSTEM
ONew
OOther
lJkep lace
TYPE
~Forced Air ORadiant OSteam ~C OVent DElectric DRot Water OSuppl.OCon. Burner
IS CHIMNEY BEING LINED ~No DYes - LINER SIZE
Note: All chinmeys shall be sized per the BTU's being vented.
& MANUFACTURER
CffiMNEY TYPE
REA T LOSS
BTU RATE
OChimney A
OAs Ap.,nwyed
OAs Per Plan
OChimney B
riExisting
OVariable
DDirect Vent ~ther PVt:-
DNot Applicable
,rather Value ?~. ()d) IJ
DESCRIPTION OF ALL WORK BEING DONE
c~
~~ ~'Xf ~ A/c
V ALUE (Including labor and al\ materials including light fixtures) $
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ELECTRICAL CONTRACTOR
l?J{JtL
OR 0 Electric Installation Verification form attached(lr Replacement)
Electrical instnllntion ofnew/replncement equipment shnlllJe done by licensed conlrnClOrs
rfr6 IP 3?tf f
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Ol1\ce nO.2J(d050
F... 920. H6- 50K4
Electric 1 nstallation Verification
! (We) _..____.Ilt:._.L.__~ .... _.J? (~ci_r; '- .
(Electrical Contractor Name)
.__.__..fJ:i?..:. ._._.13 Q.J!...__I..!. 2.. .... /!J~f14~h~__~~_L-___._... .f" Y 752-
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for 11--1 lIe(}..rf(i1.J~dc..-
(Name of party contracted to)
at the following address: ..1f!L__"!.__L(f~ /jl/e (J J 4 L \A.. /.5 C:::v r't.e? ).:) ~ -. ~ 8' '17
(Address where work will be perfonned)
'111C nature of the work consists of: (Check One or Describe the Nature of Work)
.----l Reconncction or new circuit for replacement He~and/or ~
Reconnection or new circuit for replacement Electnc Water Heater or power vented
waler heater.
Reconnection of thc Service Entrance Cable, Meter Box I alterations to receptaclCls
and lighting fixtures due to Riding / soffit installation, Note: New Service
Entrance Cables will require a separate permit.
Rcconncction or new circ.uit for the replacement of other permanently wired
appliances I fixtures.
\Jew circuit for the addition of' Ale to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of lhi~ work is $ .
I hcrehy verify this work will be perfonned by an employee of this company and further verify
Ihe r('connection / installation will be done in compliance with manufacturer and Electric code
1\~qulrCl1H'111:;.
(~~_._ (:;;;dJif~__
C-;lgn;JIlIf"t' 01 (oll1pallY Officer) (Print Name of Officer)
_...!:t (..ct.~
(Date)
dtJb rt 3;;& i
1102
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