HomeMy WebLinkAbout0126644-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 220 MERRITT AVE
CITY OF OSHKOSH
No
126644
HVAC PERMIT - APPLICATION AND RECORD
Owner 220 MERRITT AVENUE/50S MADISON ST
Create Date 09/07/2007
Contractor A-1 HEATING & AlC INC
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type ,c) Chimney A () Chimney B
Heat Loss . As Approved () Existing
BTU Rate K:) As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
U Solar U Solid
D Other
U AlC U Vent
U Con. Burner
. Not Applicable
() Not Applicable
. Other
Value
Value
Use/Nature Multifamily / Replace furnace. EIV provided by Bell Electric.
of Work
Fees: Valuation
$1,981.00
~AJ
Plan Approval
$0.00
Permit Fee Paid
$40.00
Issued By:
Date 09/07/2007
D Permit Voided I
Parcelld # 0401510000
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, \VI 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
I ou are a contractor artici atin in' the Permit ee Account S stem and have ade uate unds check here
if you want this vrocessed through your account n
DATE
21,).v/(J 7
, .,
JOB ADDRESS ~O !J1ert-,/f 1Jl/~ 051/(tJJ~
OWNER .~f hW"Gh fJjr~fJ-rh',j l-J3 -Sfl 0
CONTRACTOR II"...; H -ecJ;~J q-... hi r {(J11 ~im ()I'll ;). ..fI'L 9.)i)'~ 779- iP3 ~
CHECK 0 ALL APPLICABLE
USE CATEGORY
OSingle Family ODuplex ~ulti-Family
o Rental
DCommercial
o Industrial
FUEL
~.
Gas
DOil
DElectric OSolid
OSolar
SYSTEM
ONew
OOther
~eplace
TYPE
~orc'f~d Air DRadiant OSteam DNC OVent OElectric DHot Water OSuppl.DCon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU;s being vented.
CHIMNEY TYPE
HEA T LOSS
BTU RATE
OChirnney A
~As Approyed
OAs Per Plan
OChimney B
DExisting
OVariable
ODirect Vent lj6ther IvC-
DNot Applicable
llOther Value A ~e 'f ( p Lt' -'
P-1.1/I/btt'-e-! /l{~<<,/ocih~
DESCRIPTION OF ALL WORK BEING DONE
SEP 7 2007
/ r. ()\ . (J '0 DEPARTfvlENT OF
V ALUE (Including labor and all materials including light fixtures) $ I,' 7 I I COMMUNITY DEVELOPMENT
tJ L INSPECTION SERVICES DIVISION
ELECTRICAL CONTRACTOR f)pl OR 0 Electric Installation Verification form attached(lfReplacemenl)
EleclricnJ inSlnllntion of new Ire pIn cement equipment shnll be done by licensed colltraClo/'s.
dv~ IF 39;) 6
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_ _l!.c_A.~L_L!.L.,. td..M~'~ . 1./ , _._ n{q~
(Addre s) (City) (Stato) (Zt1 Co e)
h;!v~ bCt'n WI\tr cted to perform clc:ctr)e itull111aliclt\ work fur A-I fI~(; r:h.~M~.
""33 -J fiO (Name o(purt~ e(mtr~t;tt~ to)
at the following ddress: _6~.lL~Prop-4rli t!J. l..;}..O !J1f3fr.7t IJJt..
(Address where work will be ~erfonned)
Electric InstnlJatlon Verification
ti~~ .."_.1!-_(~ 1- ,.; (..
(Elecldc~1 CUI'l1tactor Nnmc)
11)~ lli1hire ofth WClfk cunsists of: (Check One or Describe the Nature of Work)
R~ onnechon or l1eW circuit forreplll.cemunt H~tl~1"lan' and/or NC COT I Cllscr,
Re onnection or new ckcuit f()T replacement Electric Water Healer {)f' pow vcM'ee
water heater. "
Re onnec,ion of the Sel'\'ic( Entrance Cable, Metor Bll-lt, al1eratiot\$ to ftCCeptlUO\C9
and lighting fixturc7> due to lIidlng J soffit in$tat\ation. Nole; New Sen.-Ice
t:tltnmce Cables wi II require a sepDrate pennit. i
Rc I onncction or 1)eW eift,Hit for the rcplaC'mlMt or C3ther permanently wir
llppJianees I fillt(llCS.
'..........~. >.Ie cirellil ror ,he adc1ition Qf Ale toun irrdil.Jit/ut1f dwelling Imit (house I)~ the
i"dividu~ll systems ill U d~II)lex oreondominium)t including required se~jce
c1ccuic.l( outlets, !
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TI,~ vnluc I,)(Ih:l work is $, '____' I
I h.cr.~hY \'r~~~~y hi~ ":ork. ~ill be. perfl'lTml:'d, by ttn ~pl()yee.of this ~oml>any and furthe~' verify
lh\: n.:cmll11:~1I0' I mt:;t~lla.tlol' wilL be dune In 1:oltLphance WIth manufacturer nnd "1~lcctr c;ode
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