HomeMy WebLinkAbout0126648-HVAC (furnace)
o
OSHKOSH
ON THE WATER
Job Address 2416 CLOVER ST
CITY OF OSHKOSH
No
126648
HVAC PERMIT -APPLICATION AND RECORD
Owner MATTHEW J KOLB
Create Date 09/07/2007
Contractor A-1 HEATING & AlC INC
Fuel ~J Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss U As Approved . Existing
BTU Rate D As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
. Not Applicable
U Electric
o Replace
U Steam
U Suppl.
e) Direct Vent
() Not Applicable
. Other
Value
Value
60,000
Use/Nature FR I Replace furnace. EIV provided by Bell Electric.
of Work
Fees: Valuation
$35.50
Issued By:
$1,687.00
tlnc4
Plan Approval
$0.00
Permit Fee Paid
Date 09/07/2007
o Permit Voided I
Parcelld # 1229100000
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, ViI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THF WATER
HVAC PERMIT APPLICATION
All information 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 varticivatinf! in' the Permit fee Account System and have adequate funds. check here
if you want this processed through vour account n
JOB ADDRESS 2. Lf 16 (.,10 V.(J I' j r 0 s ~ J( oJ f;
OWNER-'!1 c#^~ \.V k ()L-J, ;.a 7- Is~3
CONTRACTOR 1/..-/ f!-eI:J;~J d' /fIr (iJ"'~idrtJnt~ ..t""c
DATE ajJ-oj 07
9;f)~ 779- ff3 i?
CHECK &:J ALL APPLICABLE
~E CATEGORY
'90Single Family DDuplex
DMulti-Family
o Rental
DCommercial
o Industrial
FUEL
~6as
DOi!
DElectric OSolid
OSolar
SYSTEM
ONew
o Other
~eplace
TYPE
i'!Jforc~d Air DRadiant OSteam ONC OVent OElectric oHot Water oSuppl.oCon. Burner
IS CHIMNEY BEING LINED ;aNo DYes - LINER SIZE & MANUFACTURER
Note: AIJ crimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE OChimney A oChimney B
HEA T LOSS OAs ApOfoyed ~xisting
BTU RATE Jl<\s Per Plan OVariable
oDirect Vent ~bther IvG
oNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE
ELECTRICAL CONTRACTOR
f6et L
'0
1,611-4.1
, I
SEr 7 Z007
DEPAR I JVltl\l I OF
COm1U~11TY nFvELOPMENT
INSPE#ION SE':rrrS DIVISION
'I 35'
V ALUE (Including labor and all materials including light fixtures) $
OR 0 Electric Installation Verification form attached(If Replacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors.
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()g 105120Ql WED 61 U F 92Q 7'33 2713 WM'l'ERS PLUMBING
VD001/008
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Electric lustalJatlon Verification
I (We) _,. ,.._ .l1ti~~ .._ ...12 L~~.i!'; (.. . _
(E.lec.trical Contractor NlSme)
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'q~.__..R,c~__ll..L.... /1J~/l4.lh~ .hf-.L-___. S' YiS :?_
(Addt ss) (City) (State) (~tp Code)
h;)"c been Cl\I" ~c\cd to perform electric il1stallation work fQr A-I H<Jt.rJ.~i'J.f!- .~-"o:.--I
'-'37 - JS'r:J (Name ofpat1)' wntracl'fd to)
address: J/J1JJ-J:M~d.I.JL6 C-IIJVfr ,ft O~I1~"~,
(Address wh-ere work will be perratmed) i
l
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"l11e nkl1\lr,: I>f I e work consists of: (Check One Qr Describe the Nature of WOTk)
-..0 conn<<tion or ncw circuit ror replacemenl HeBtlllg Plant and/or Ale Co~denscr,
.__ R connec1)on or new circllit for replacement Electric Wator Heater or PO. Vtl1tu1
willer Iteater. !
R connection of the Serviee Enfrance Cabb". Meter aax, altefl\tioml ro re~ptac.les
und lighting fixlUres due to ~iding I soffit .nllU([at~on. Note; New Seryic<l
Entrance (~able.!i wilt require a scpIJFale permit i
R connection or new c.i1"('.\lit for th,e replacement of ather permatlently wirl:d
appliances I fi~lure!r. j
:-v !w cirelli I for the addition 0 r Ale to IKl ind"vidu(~( dwelling unit (house Jr the
lndividuk\l systems in u duplex. or condominium)l including required ~ce
clc:ctrictlloU1Iets. I
() "er
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fhl: V;\!lll::"r " is work is $ .
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t herr.:'oy vcri r
lh~ n,':~mmc<:li
"~~11J IfCllll'''tlt.
lhi~ work ,":,iH he. perfonnecf by 1J}) employee ofthis company and furthh verify
l\ J msla\lall()1) wIll he done in compliance with manufacturer Rnd Elccttlccode
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(Prinl Name of Officer)
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