HomeMy WebLinkAbout0124334-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 427 MERRITT AVE
CITY OF OSHKOSH
No
124334
HVAC PERMIT -APPLICATION AND RECORD
Owner LISA ARNDT
Create Date 04/20/2007
Contractor A-1 HEATING & AlC INC
Fuel l,l'1 Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A C) Chimney B
Heat Loss KJ 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
D Other
U AlC U Vent
U Con. Burner
. Not Applicable
() Not Applicable
. Other
Value
Value
100,000
Use/Nature SFR / Replace furnace and some ductwork. EIV provided by Bell Electric.
of Work
$2,200.00
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$43.00
Issued By:
~
Date 04/20/2007
D Permit Voided I
Parcelld # 0400370000
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,
..
City of Oshkosh
Division of Inspection Services
PO Box 1130
Oshkosh, VVI 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
/
in' the Permit ee Account S stem and have ade uate unds check here
our account
JOB ADDRESS '1"7 /II.",,, ,t-'J sr- CJs4 s(/}$ ~
OWNER LIse.. Arll~'i Y;to --/~:J... ~
CONTRACTOR A-I )le~7-I;"'1 .:;. fi I~ C:WI ~\d'~Jr/hvl
{7 <:>
DATE
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CHECK (tl' ALL APPLICABLE
USE CATEGORY
~Single Family. ODuplex DMulti-Family
9)l-1'-7JY- }~~RECEIVED
APR 2 0 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
DComm~~P-ION ~lhlSfrB1VISION
ORental
FUEL
tVGas
OOil
OElectric OSolid
DSolar
SYSTEM
DNew
DOther
r)Replace
D'PE
~orced Air ORadiant oSteam DAlC oVent OElectric OHot Water OSuppl.OCon. Burner
IS CHIMNEY BEING LINED QlNo DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CIDMNEY TYPE
REA T LOSS
BTU RATE
OChimney A
o As Ap.!1,r,oyed
OAs Per Pfan
OChimney B
citxisting
OVariable
ODirect Vent 9i6ther fJ ilL
DNot Applicable
)lfOther Value /117 r) V IJ
-P.~ ~ ~t7 ~:
DESCRIYT!9N OF ALL WORK BEING DONE
cfkrd'M~
V ALUE (Including labor and all materials including light fixtures) $ :2.1 'J-() v ' j);)
ELECTRICAL CONTRACTOR
(J~tL
Y'l,50
deb II- 3 5'3 9
OR 0 Electric Installation Verification form attached(lr Replacement)
Electrical installn/ion of new Ire pIn cement eql/ipment siJnll be done by licensed conlrncrOI'J
tf
F-' 13~6()
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Clly o(O~hkll,1i
[)'VI~101l of hl'Ve,'''"" ~rVlrrl
11 ~ Chllleh A ....nue
POBo, I\)O
O.hkn," WI ~4<Jll:l.ll:10
Om<:e 'I10.2)(d050
f.u 920.]}O.50H4
Electric Installation Verification
! (We) __
IJ e L~L.- l3 L ~c..1 r; L
.. .__.~.f:l----- .........- "."..' _.__...._.~-._...._..._------.--
(Electrical Contractor Name)
.._...fJ:'?.: ._....13 Q_L_ll. 2... .... /!J~I1c;}h~__Y.._L-...__..__.S" Y.z-~L
(Address) (City) (State) (Zip Code)
have been cnnlracted to perform electric installation work for 11:-/ t1t;(}r/r.!.1J..!!.....!!I.L-.
(N ame 0 f party contracted to)
alll1e following address: _'::Ll::.2._JIL'fJ.Jfl'1- r 5" rJJh k05~ LIJOl.
(Address where work will be perfonned)
I}.,'"" 2 'r .
. If J- v ~ j 6;)" F
The nalure of the work consists of: (Check One or Describe the Nature of Work)
.....X Rcconncction or new circuit for replacement ~t and/or NC Condenser.
__.__ Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection ol.'thc S~["i<.:e Entrance Cable, Meter Box. alterations to receptaclos
uno lighting fixtures due to Riding / soffit installation, Note: New Service
Entrance Cables will require a separate permit.
Rcconncction or new cirellit for the replacement of other permanently wired
appliances / fixtures.
:-Jew circuit for the addition of' AiC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required servicl::
electrical outlets.
Olher
------------ ...-.....-.. '.'"-'---..--.-..-..
-----..---------
file valllc of lhi~ work is $
.--------"
I hcrchy verify this work will be perfonned by an employee of this company and further verify
111\: 1't'C 011 I\(.'C 1 lOll / inslallation will be done in compliance with manufacturer und Electric code
r~q\ll rClnt'lll:..;.
~-~~-- ~"-
lSll,'.ndlul'\' ol'('ol\1paIlY Officer) (Print Name of Officer)
_ff -;[~_02__
(Date)
_J I H- 8 ~ 3 'r
CJ(y~
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