HomeMy WebLinkAbout0126645-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 652 MONROE ST
CITY OF OSHKOSH
No
126645
HVAC PERMIT -APPLICATION AND RECORD
Owner JUSTIN RlMANDY M MITCHELL
Create Date 09/07/2007
Contractor A-1 HEATING & NC INC
Fuel I~ Gas I I Oil
System o New I
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss KJ As Approved . Existing
BTU Rate K:) As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
o Other
U NC U Vent
I J Con. Burner
. Not Applicable
U Electric
o Replace
U Steam
I J Suppl.
() Direct Vent
() Not Applicable
. Other
Value
Value
60,000
Use/Nature SFR / Replace furnace. EIV provided by Bell Electric.
of Work
Issued By:
$1,687.00
~
Plan Approval
$0.00
Permit Fee Paid
$35.50
Fees: Valuation
Date 09/07/2007
o Permit Voided I
Parcel Id # 0406060000
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, WI 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 HaU, 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 vrocessed through vouraccount n
JOB ADDRESS 652 1J1(J(I tile ..s T tJ.s hJ;OJ4
OWNER Il1tt'l dv ~ 'jw.sJ;", In ':tc..J,l?l~ d-3S - () l./'s7
CONTRACTOR I#~/ fI-e~J;~J U' /1,(' ({j.1~idr()i11:J. ..trc 9J().~ 779-ff3P
DATE R/dt()h J
, ,
CHECK It! ALL APPLICABLE
USE CATEGORY
!}(Single Family DDuplex DMulti-Family
DRental
DCommercial
o Industrial
FUEL
i){Gas
oOiI
DElectric OSolid
DSolar
SYSTEM
DNew
o Other
9Replace
TYPE
I}&orc~d Air ORadiant DSteam ONC OVent OElectric OHot Water OSupp1.0Con. Burner
IS CHIMNEY BEING LINED g4No DYes - LINER SIZE & MA.1\fiJFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
OAs Apnroyed
J?7As Per Plan
OChimney B
fiExisting
OVariable
ODirect Vent WOther IJ Vt..
DNot Applicable
DOther Value OI!:J{ v-v. ..~
.Fd1~~~<.r~CEIV
SEP- 7 2007
DEPARl MtN I OF
Cm1~1U~lITY DF\lFI OPMENT
INsp.itnO..N S~RVICES DIVISION
r3J ...s0
o
DESCRIPTION OF ALL WORK BEING DONE
1/ / ~.7' fJ 'J
V ALUE (Including labor and all materials including light fixtures) $ 't- Q. ~
ELECTRICAL CONTRACTOR
!Jet(
OR 0 Electric Installation Verification form attached(lr Replacement)
Eleclrical installalion of newlreplacement equipment shall be done by licensed COlllraC(ol"s.
eft" IF 319 Y
09/05/2007 WEn 6145 P 920 733 2713 WATTERS PLUMBING
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(Etectrical Contrnclor Name)
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(^ddre s) (City) (Stntc) (ZrCode)
I
na,<,c oeel) c:olHf e\ed to petfonn electric iualullatiol' work f~r A-I tI~rlY.l'J-'!..-&.'",--1
)35 - Q ,/S 7 . (Nanu: ofllarty cOntracli to)
:11 lhdollowing address: ~2.. M.!!.t(',J'(..:S i LJfr it 1(6-J ~ A1~I1Jy 124drtl'lL
( A..ddress where work will be perfonned)
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11,c nalure.: Qf In work collsl sts of: (Check One or Describe th.e NRture of Work) I
..,...~ onl'\ection or l1ew eircult 101 replncemenl Healing Plan' and/or NC cJ<ienser.
___ Re QMect,on 0 r new ciretl it foT' r~ptaccmenl Eleetrie Water Heater or pow,," vel'lred
wa\et' heater. !
R onnl:ction (lflhe Service Entrance Cabte. Meter Box., aU:er~tiona to rec~as
and ligbting. fixtures due to ,~;dinB I soffit il1Stallation. Note: New Se"1i\1c
Entrance Cables will reqlJire l\ separate permit. !
R connection or new circuit fOT th.e replacement of other pC'l:mBnently wi~
8wHances! fiKtur~s, I
N( w circuit for the addilion of Ale ta eln ;ndivitlu(,f dwelling ItnU (house of the:
incHvidui11 systems iill) duplex orcondominium), including requited iCl'vlcc
CICClriC~' I (}\.ltICI~. I
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Tht: \':tlne \.If,)) :\work i:o; $ I
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I htrl'OY \.trif:Y hi~ work w>11 he perfonned by an empto~c:(; oftbis com~ny and further veri fy
Ih\' reC{)IlIIL'(:hl' \ f m~laHalioll will he done in compliance with manufactufCr &U\d El~'rlc code
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