HomeMy WebLinkAbout0124333-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1919 SHERIDAN ST
CITY OF OSHKOSH
No
124333
HVAC PERMIT-APPLICATION AND RECORD
Owner TRAVIS TIDONNA K ROGERS
Create Date 04/20/2007
Contractor A-1 HEATING & AlC INC
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type o Chimney A () Chimney B
Heat loss K:) As Approved . Existing
BTU Rate () As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
D Other
U AlC U Vent
U Con. Burner
. Not Applicable
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
() Not Applicable
. Other
Value
Value
60,000
Use/Nature Duplex 1 Both units - Replace furnace and ductwork. EIV provided by Bell Electric.
of Work
Fees: Valuation
$6,100.00
~
Plan Approval
$0.00
Permit Fee Paid
$101.50
Issued By:
Date 04/20/2007
D Permit Voided I
Parcelld # 1216690000
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 Inspeclion Services
P.O. 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
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1 ]28. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
/
ee Account S stem and have ade
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JOB ADDRESS J 9 J 7' /t .511"""'1 Cc...-v .1 r tJ, ~ I( ~> 4
OWNER 7:f'av,.., ~ J0Wl~ fl,.Y~~. I~/- '7y/j p .'. . .RECEIVED
CONTRACTOR A-I )/-et:.1v':J 0' fi 11\ Lv,', c',d't.illhtJ 9,,;.1,,'- )7'/ - ,?. r:.J
o APR .2 0 2007
DATE
9//~(J7
CHECK ~ ALL APPLICABLE
USE CATEGORY
OSingle Family t)Duplex DMulti-Family
DRental
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
o Commercial o Industrial
FUEL
piG as
OOil
OElectric OSolid
DSolar
SYSTEM
ONew
o Other
~eplace
TYPE
~orced Air ORadiant DSteam ONe OVent OElectric DHot Water OSuppl.OCon. Burner
IS CHIMNEY BEING LINED ~o 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
DAs Apl).z:oyed
DAs Per Pfan
OChimney B
~xisting
OVariable
DDirect Vent )zfOther fJvL
DNat Applicable
!)lOther Value 01)", (h);)
-f:.~J ~~~ J ~~-A
DESCRIPTION OF ALL WORK BEING DONE
V ALUE (Including labor and all materials including light fixtures) $
ELECTRICAL CONTRACTOR
(jeCL
db fit JJ ~t if
V
~3t?o,\J
I" 6/' v.?
Ql1 0 Electric Installation Verification form attached(lf Replacement)
Electrical instal/fII/on o/new/replacement equipment shall be done by licensed COntmclors
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(JWD
Cuy OrO,hk(l~ll
[),v,,.on or Itt'Vtrlllln Serviro
11 ~ Chntt'h A~n""
PO Bo, IIJO
a.ilk".l. WI ~4lJ1lJ .11 30
OlTlte "2<1.2JC,-5050
(... 920.2}(>.50H4
Electric Installation Verification
[ (We) _..._..._-I3-f._Li.~ ...__.fiL~c,1.!:; (...
(Electrical Contractor Name)
.__ ...P:l?.:. ....__.#; O.L.___ll ~:.. .... /tJ~114}h~___~~_L-.____.._.S- 1'..2-2 2-
(Address) (City) (State) (Zip Code)
h;)"c been contracted to perform electric installation work for A-I t1~(Jrfri.?J.!!..._1I.c." I
L<11 .d Lv" ~ '~I/"~ tj-- /JOt1 tic" fi I.t... (~ 6 S j- 9 If So (Name of party contracted to) 6
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at the following address: -L9...f-9-Lt.._i) erl d6Af 6'f 01) it If" ~ ~ fJrJ f.I .. /J/t' 4 I.. .
(Address where work will be perfonned)
'IlK nature of the work consists of: (Check One or Describe the Nature of Work)
y
Rcconncction or new circuit for replacement
Reconnection or new circuit for replacement
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacltls
and lighting fixtures due to Riding / soffit instaHation. Note: New Service
Entrance Cables will require a separate pennit.
Rcconncction or new circuit for the replacement of other permanently wired
appliances I fixtures.
New circuit for the addition 01' Aie to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Olher
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The vallie or Ihis work is $ .
I hcr<:hy verify this work will be perfonned by an employee of this company and further verify
111\.' reconnect Ion / installation will be done in compliance with manufacturer and Electric code
Il~<-1 tll rem en t:;
2~~4_____- r:;1a ~_
(SI.\tn<JllJll' 01 c.ompany Officer) (Print Name of Officer)
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(Date)
eft/; IP ,3 pt 'I
'102
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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 THF WATFR
· 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 perrnit(s) will result in fees being doubled or $100.00 plus the
nomal permit fee, which ever is greater.
OR
J ou are a contractor artici atin in' the Permit ee Account S stem and have ade uate unds check here
if you want this processed through ;our account 0
L/ JI'! /07
L YVJ n M&i-I~t tJ.1c~.U, }totl'cA'f-- 65).. DY'/tj DATE r,L:. / (
JOB ADDRESS /9/9 SA~n d~N 5'1 O~;'If(,):J~
OWNER -Jr1l<V;~ It jJ"n~ I/~U/l. 63:- '7'tSO .. .8", ECEIVED
CONTRACTOR A-I JI-er:.1l/H'1 \l' fi If\ CIUI ~\dtGJr1hVJ X~,,1.- J)Y _ .?
v v APR 2 0 2007
CHECK ~ ALL APPLICABLE
USE CATEGORY
OSingle Family ~uplex DMulti-Family
DRental
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
o Commercial DIndustrial
FUEL
~Gas
OOil
DElectric DSolid
OSolar
SYSTEM
ONew
o Other
~eplace
TYPE
Worced Air ORadiant OSteam DAlC DVent DElectric DHot Water DSuppl.OCon. Burner
IS CHIMNEY BEING LINED lifNo DYes - LINER SIZE
Note: Alf chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CIDMNEY TYPE
HEA T LOSS
BTU RATE
DChirnney A
OAs Aplltoyed
DA:s Per Pfan
DChimney B
, ~Existing
OVariable
DDirect Vent
DNot Applicable
l10ther Value
I;1'bther fJVc..
At); 00 C>
,
DESCRIPTION OF ALL WORK BEING DONE
~~Ad~aJ,L~
.07
V ALUE (Including labor and all materials including light fixtures) $ ~I PO,?
.fJ . $0
ELECTRICAL CONTRACTOR ~l' Lt,.
Gab #: 3 ~63
QE. 0 Electric Installation Verification form attached(lf Replacement)
Electrical installation of new/replacement equipment shall be done by licensed Contractors
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Clly orO~hktlsh
OiV"KlIl of hl1p''''II'ln Strvicr,
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POBo, 11)0
0.hk",h WI S4CJln .11)0
Office 9Z0.2}Cd050
I'" 920. ])6.50H4
Electric Installation Verification
! (We) _....---...I3-~-L?-- ......../}j~__~~.1.!:i '- . ...
(Electrical Contractor Name)
.._ ..f:'?..:, .____..fy Q.J!....--LL 2... ....
(Address)
/!J~l1tj~hi!:l
(City)
~~-L-_.._..__ .j Y 75 2
(State) (Zip Code)
A-I tI ~~. rfli'J~.!!i(-
(Name of party contracted to)
IS 1- /J 'f 'f q
tft:..l2r: 1'fIIt<.f1 1'1.
h;)\'('. been contracted to perform electric iostullatioll work for
at tile following address: -.LJi 9 _~J.~[I CoCN .5', C>'S Air lJj. 4 L'J ~ Y1
(Address where work will be perfonned)
I-t:-V'.~ Lore ire-Vl);j tJOIII1t>.. ,qoJt..r5 65/-91/50
T11c nature of the work consists of: (Check One or Describe the Nature of Work)
.-.oK Rcconncction or new circuit for rePlaceJl1~~nd/Or NC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptaclos
and lighting fixtures due to Riding I soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Rcconncction or new circuit for the replacement of other pennanently wired
appliances / fixtures.
N(~w circuit for the addition of AIC 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 this work is $
I herchy verify tilis work will be pcrfonned by an employee of this company and further verify
the rCCOlll1l'(IIOn / installation will be done in compliance with manufacturer and Electric code
rl~q 1I1 rCI11t'11 t:;.
~~---_:- ~~--
(SII,'Mlurl' oj Company Officer) (Prinl Name of Officer)
/i" L~-Q2
(Dale)
6'vlo Ii 3 ;?'6,3
1/1}2
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