HomeMy WebLinkAbout0124336-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1127 W 7TH AVE
CITY OF OSHKOSH
No
124336
HV AC PERMIT- <. APPLICATION AND RECORD
Owner LYNN M BARTELS
Create Date 04/20/2007
Contractor A-1 HEATING & AlC INC
Fuel L{j Gas UOil
System D New
l!:J Forced Air U Radiant I
U Electric U Hot Water I
Chimney Type K:) Chimney A () Chimney B
Heat Loss D As Approved . Existing
BTU Rate K:) As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
D Other
U AlC U Vent
1 J Con. Burner-j
. Not Applicable
U Electric
~ Replace
U Steam
U Suppl.
() Direct Vent
() Not Applicable
. Other
Value
Value
60,000
Use/Nature ,SFR / Replace furnace and some ductwork. EIV provided by Bell Electric.
of Work
Issued By:
$2,300.00
t?~.-AJ
Plan Approval
$0.00
Permit Fee Paid
$44.50
Fees: Valuation
Date 04/20/2007
D Permit Voided I
Parcelld # 0606460000
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 Inspection Services
PO. Box 1130
Oshkosh. VVI 54903.1130
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 THE WATER
JOB ADDRESS II ?-7 V 7 f~ l}.rt:. fJ s It J( o~ ~
OWNER LY/11 fJ;Art-cL; 'i(}..6-()'J..17
CONTRACTOR A-I JI-ee:.7);';j .;j- A.I~ CV"1 ~\d'~JiJi7tJ
o
DATE
CHECK ~ ALL APPLICABLE
USE CATEGORY
~Single Family. DDuplex OMulti-Family
X;lil- 777 - }.~ff3 f APR 2 0 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
ORental
o Commercial
OIndustrial
FUEL
~Gas
DOil
OElectric OSolid
DSolar
SYSTEM
ONew
DOther
~eplace
TYPE
~Forced Air DRadiant OSteam ONC OVent DElectric DHat Water OSuppl.OCon. Burner
IS CHIMNEY BEING LINED r).No DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per theBTU's being vented.
CIDMNEY TYPE
HEAT LOSS
BTU RATE
OChimney A
OAs Ap.D,l:oyed
DAs Per Pfan
OChimney B
I2fExisting
DVariable
DDirect Vent ~Other /JvL
DNat Applicable
r)6ther Value 6 (), ,,() ,7
DESCRIPTION OF ALL WORK BEING DONE P~~;t r}- ~
~Jrtw.JA
V ALUE (Including labor and all materials including light fixtures) $ ~/J 0 oor (,J ~
ELECTmCALCONTRACTOR ~el(
,fy~~~
Ql1. 0 Electric Installation Verification form attached(lf Replacement)
Electrica' insta//mion a/new/replacement equipment shalf be done by licensed COlltmctors
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Electric Installation Verification
I (We) _h .__...__I3_t:._L~ ,,'H _ ...I1.t_ ~ ~_1_!:; <... . ..
(Electrical Contractor Name)
. .._.P:P..: ....u...i3 o..L_LL E... .... /l1~"tj}h~_~~_L-...__...__'f' y 1~ 2-
(Address) (City) (State) (Zip Code)
have been cnntracted to perfoml electric installation work for It-I tle(;rif.~'J.~.!!I.(,-
(N ame 0 f party contracted to)
at tile following address: _!./'J...?___~.. ) 'f-I-, Alre. 04"4 /((7J~ LYi?J.1 l1.t,'r-eL~
(A.ddress where work will be perfonned)y J-.6 - tJ ~l 7
'llH~ nature of the work consists of: (Check One or Describe the Nature of Work)
~ Rcconncction or new circuit for replacement ~ and/or NC Condenser.
Reconnectjon or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to Riding I soffit installation. Note: New Service
Entrance Cables will require a separate pennit.
Rcconncction or new circuit for the replacement of other permanently wired
appliances / fixtures,
New circuit for the addition 0(' Ale to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
---_.- '-.-...........-..-.--..---..-..-----------..
The value l)f thi~ work is $
.---------'
\ hcrchy verify this work will be perfonned by an employee of this company and further verify
the l't'COIlJ1l'ction / installation will be done in compliance with manufacturer and Electric code
rl~q U I rCI1H'l1 t ~.
~ ~-- 2e-t-li=J(eq
(Slgnalllrl' 01 c.ompany Officer) (Print Name of Officer)
eft ~ I,.. 3? II /
_.~/- IK- D'7
7..______~.___
(Date)
1101
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