HomeMy WebLinkAbout0126646-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1836 ASHLAND ST
CITY OF OSHKOSH
No
126646
HVAC PERMIT -APPLICATION AND RECORD
Owner DENNIS C WEED
Create Date 09/07/2007
Contractor A-1 HEATING & AlC INC
Fuel ~ Gas I I Oil
System D New I
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss K::) As Approved . Existing
BTU Rate r) As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
D Other
U AlC U Vent
I J Con. Burner
. Not Applicable
U Electric
~ Replace
U Steam
I J Suppl.
() Direct Vent
C) Not Applicable
. Other
Value
Value
72,000
Use/Nature SFR / Replace furnace. EIV provided by Bell Electric. Owner listed as Judith Shimkus.
of Work
Issued By:
$1,438.00
tl/7JI /<J
Plan Approval
$0.00
Permit Fee Paid
$32.50
Fees: Valuation
Date 09/07/2007
D Permit Voided I
Parcelld # 1503040000
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
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THF 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
If you are a contractor varticivating in' the Permit fee Account System and have adeCluate funds. check here
if yOU want this processed through vou/. account n
DATE
~/;\Jlo 7
, ,
JOB ADDRESS J '%3 {,
.
OWNER (ht c\.~.~ 6 ~ t fl1 Jf tit J
CONTRACTOR 1/"./ H -ecJ';~J d' /1, r
IfshL~~J oJ t ();hl(,"J t
lJ:J.-() -155 Y
(if'" ~lm fl 11 i:;' ..f,"c
9,}o~ 779- f'f3;;
CHECK It1 ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex DMulti-Family
o Rental
DCommercial
OIndustrial
FUEL
!X'Gas
OOil
DElectric OSolid
OSolar
SYSTEM
ONew
OOther
qm.eplace
TYPE
'Forc~d Air ORadiant OSteam ONC OVent OElectric OHot Water OSuppl.OCon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE & MA..NUFACTURER
Note: Ail chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approyed
}11AS Per Plan
DESCRIPTION OF ALL WORK BEING DONE
DChimney B
!\tExisting
OVariable
ODirect Vent QtOther PVL
DNot Applicable
DOther Value /) 'J..,v~ a ,.,.., ~ ~..J
SEP 7 2007
DEPART!v]ENT OF
C~iV\UN1TY DEVtLOPMENT
V ALUE (Including labor and all materials including light fixtures) $ 'I ,/3 jo, v 0 IN)'EJ"5.N. S!f'eFES DIVISION
tJ ~ it.,
OR 0 Electric Installation Verification form attached(lfReplacement)
Electrical installation of new Ire pia cement equipment shall be done by licensed CO/llmClors.
ELECTRICAL CONTRACTOR
deb IF 3?9/
09/05!2()07 WED 6145 AX. 920 133 2113 WM'~ERS PLUMBING
!ZlI)05/0DB
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"ro(O!h~(lll'
'''''100. ..r lmpe.11ltlt S,,..;..,
1 , ("'".h "YI!~"
30. II>>
..,,1, WI S..,Il,.II:111
Il\<e ~~C1.21..}Q)D
I' . ,,0-1I5-$ON"
Electric lnstallation Verification
1 (We) _'
~ ..__ ..~L ~(;. +rJ' (... _
(Eleclsica} Conttaclor Name)
.__'_ :9._~.___.~~J5..-_-L! $ "_ /f1(;~4JJe. ~ , .) Yl5 2-
(Addr as) (City) (Sta~e) . ( lt~C()de)
h;wc heell cLlnt ncled 10 perform electric ;tlstllllatiot1 work for IJ.-l tL<;"flf';!J4L-.
11~{J - 6S51/ (Name of porty conlfa.~lfd to)
atthe followin address: ._a-M1J.1.~...6jv Ji'I K.., ~ I 13 6 As ~ leV! ~ .$ r. ~ i It pJ.~
(f\ddress where work will be perfonned) I
I
Th~ nahlrc of I e work consisls ()f: (Cl1cck One or Describe the Nature of Work) i
I
~. Vn onneclion or new circuit fef replacement I1cl1ting Plant ~d/or AJC CohdcMc.r,
;___ R n.tI~t;Otl or new circuit for t1::l'lacement Elccuic Water Hcaler or PO~Of' Valted
warler he rater , ' . !
R. oonneclio'l'l. oftltc Service ErHranee Cable, Meter BolC., alterations to reC~pll\Cle~
~Uld Hgbting fixtures du~ 10 lIiding / soffit lnstaUation. NQte; New Serricc
En.lranc.e Cables witl require 11 separate pem'\il. 1
R co1mection or n~w circuit for lhe repl~c~rnent of other permanently wifed
appliances I fix.lUre1i. \
. l~W c.ircuit for Ihe addition of AiC to un indivtdulJ( (rn-elling unit (house ~r lhe
indi vhtual systems il\ a L1uptex or condominium). including r~uirc:d 9~rvLce
c\celriculoullets. I
h~r I
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T~'e Vul\\c \}f, J~ work is $,.____
I htrclly Hti f
lhl: 1'~COMCCli
rcquirel1H'll\:-:.
i
lllis work wilt ne performed hynn employee of tbis company and furth~r veri fv
1\ I in~laUati()n wl1l be dOl)C in compHuncc wilh manufacturer and Blec~ic cod~
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