HomeMy WebLinkAbout0126027-HVAC (furnace)
o
OSHKOSH
ON THE WATER
Job Address 816 MONROE ST
CITY OF OSHKOSH
No
126027
HV AC PERMIT - APPLICATION AND RECORD
Owner KEVIN L FRY
Create Date 07/23/2007
UOil
Category 502 - Residential-Both
~ Electric
o Replace
U Steam
U Suppl.
Plan
Contractor
BLACK-HAAK HEATING
Fuel ~ Gas
System 0 New
~ Forced Air]
U Electric I
Chimney Type ITChimney A
Heat Loss D As Approved
BTU Rate K:) As Per Plan
U Solar
U Solid
:J
~ AlC
~~-----~
I U Vent I
U Radiant
U Hot Water
U Con. Burner;
Q_Chi!:l1 ney B _~=~=.::::QI~ct_~.t~~L____Q_~~t Applicable
. Existing_______CtNot Applicable :::J
. Variable _____Q Other=:=:::J
:J
Value
Value
Use/Nature SFR / Replace furnace and a/c, install 3" chimney liner. EIV provided by Dierson Electric LLC
of Work
Fees: Valuation
Issued By: ?)mJ
$8,500.00
Plan Approval
$0.00
Permit Fee Paid
$137.50
Date 07/31/2007
o Permit Voided I
Parcelld # 1107490000
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
PO BOX 7075
__~-,=-~LETO~_____ WI 54912 -7075 Telephone Number 920-757-9990
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 ofInspection Services
.; . P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THE WATER
HVAC PERMIT APPLICATION
All infonnation 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
J f au are a contractor artici atin in the Permit ee Account S stem and have ade
i vou want this vrocessed throuf!h your account n
DATE~
-check here
JOB ADDRES~-ll~Q ffiilnYf}f; &~Kosb
OWNER ~)J\~
CONTRACTOR. . N-\C\m ~~e .
CHECK ~ ALL APPLICABLE
USE CATEGORY
~ingle Family ODuplex OMulti-Farnily
ORental
o Commercial
o Industrial
FUEL
'r/JiJas
DOil
~E1ectric DSolid
DSolar
SYSTEM
DNew
o Other
~eplace
TYPE
~orced Air DRadiant DSteam ~C OVent DElectric
IS CHIMNEY BEING LINED DNo ~es - LINER SIZE 8"
Note: All chimneys shall be sized per the BTU's being vented.
DHot Water DSuppl. DCon. Burner
&MANUFACTURER~
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
OChimney B
.1rl'Existing
'\i1Variable
fADirect Vent DOther
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE
\Y\ tt~nomt. .
V ALUE (Including labor and all materialsjnduding light fixtures) $ '6 B DO I 0 0
ELECTRICAL CONTRACTOR P \ trso ~cl-v1 rill
o For applicable projects, an Electric Installation Verification fO~. si e~ the :Electrical Contractor, must be
a.ttached. If not attached or not applicable, a separate Electrical P,,~un l:e.E I V E 0
Yf;VYV\\V -Re tt \01.6D JUL 232007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
9/02
/,
~.~
~
OJH<QfH
ON THE WATER
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54902-] 130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
(I) (We) 1)\-t\'S~~)L.L.C.,
(Electrical Contractor Name)
WH11~€CDnn~
(City)
Byq~
(Zip Code)
lo~@)o D 1ro:JrDjJ
(Address)
\\Il
(State)
c
have been contracted to perform electric installation work for
(Name of party contracted to
9, \lQjDWM/G\-.~ DS\'I\\DBb
(Address where ork will be performed)
at the following address:
The nature of the work consists of: (Check One or Describe the Nature of Work)
/
Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to siding I soffit installation. Note: New Service Entrance
Cables will require a separate permit.
Reconnection or new circuit for other permanently wired appliances I fixtures.
Other
RECEWED
JUL 2 3 2007
. " DEPARTIV1ENT OF
The value ofthis work is $ COMMUNITY DEVELOPMENT
INSPECfION SERVICES DIVISION
I hereby verify this work will be performed by an employee of this company and further verify the
reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
"".
~j)'I.ersefl
(Print Name of Officer)
1-19~O-7
(Date)