HomeMy WebLinkAbout0127107-HVAC (furnace)
o
OSHKOSH
ON THE WATER
Job Address 426 W SOUTH PARK AVE
CITY OF OSHKOSH
No
127107
HV AC PERMIT - APPLICATION AND RECORD
Owner NICOLE V HELM
Create Date 10/02/2007
Contractor
ANDERSON HVAC LLC
Category 500_-__B-~~ic!enti~~-Heating~ Ve_ntilating __
Plan
Fuel ~ Gas l U Oil l L I Electric ::=J U_Solar __~=:J IJ Solid ~
System [l!':l~-"'!________~J 0~place ~____~ D~her
0!orcedAlrl uRadiant _~ U ~team-=:J ~=---===J U Vent ___J
LLElectric I U Hot Water IT~2P...c:=:::=J [l~~CJ
Chimney Type 0 Chimney A () Chimney B _____OJ2lr~gt Ve~____._Not Applic~_J
Heat Loss D As Approved ..-D Existing ___. Not Applicab~-=---~ Value -----~----
BTU Rate QAs Per Plan ~ Variable ___=--___ QlJ1~r ===:..___= Value ------------
Use/Nature [SFR / REPLACE EXISTING FURNACE, EIV SIGNED BY ZIMMER ELECTRIC **debt acct
of Work i
.-------- HI
i
,
._----~-_._--_._-----_.__._--'_.._-,.._---_._--"---'--.-- .. -..-.-.-----.---,.--- .,_._-,_._-_._._._-,--,---_..__._--_._---~._-'_._._..,---.--"'..- .--
::':~d :::"'t10~ 2f69~O
Plan Approval
$0.00
- .___....n.__n___._____
Permit Fee Paid $34.00
--..---,--.-..-.--.... --, .-.---....-.---
Date 10/04/2007
D._.Permit VoidedJ
Parcelld # 0906940000
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
3454 JACKSON ST STE C
OSHKOSH
WI 54901 - 8143 Telephone Number
--- --
920-410-8858
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.
Steinike. Sandra
Sent:
To:
Subject:
Tuesday, October 02, 2007 6:46 AM
inspections@ci.oshkosh.wi.us
Data posted to form 1 of
http://www.ci.oshkosh.wi.us/Community-Developmentllnspections/Permit.fi.pp _HV AC_
2004.htm
************************************************************************
*******
Permit Fee Account:
Date:
Job address:
Owner:
Contractor:
Use_Category:
Fuel:
System:
Other System_Type:
Type:
Chimney:
Liner Size:
Liner Manufacturer:
Chimney_Type:
Heat Loss:
BTU Rate:
BTU Rate Other Value:
Value:
Electrical Contractor:
B1:
Desciption_Of Work:
yes
10-2-07
426 W Southpark Ave
Nichole Helm
Anderson HVAC LLC
Single Family
Gas
Replace
Forced Air
Con Burner
Direct Vent
1600.00
Zimmer Electric
Submit
Removal and replacement of furnace.
1
~ct 03
07 11:42a
Zimmer Electric
19206852387
p. 1
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alH
Cily ot O~'llC~b
I.)i_i;jl>ll 0(' Ir.5PtctlCll Ser.kc.l
:l.1,~ ~"_h Mn~
PO lh~ 1130
QsbkQ~ WI $~~llJ.1l3~
C1lIce l):o.:u&-50!1l
Fu 9Z0.231>-SOU
Electric Installation Veritication
C/~ -('f' )..,
c. ~ r. L.-
(Elec:tri,cal Contractot Kame)
7 .~ J (; . j{ > \J;~-r (Jr,
(Address) (City) (State) (Zip Code)
have beencon1!a~.tcd to ]>t:rfurm dcctric installa.tion work for A Ji,! {'" J p'-J /l Jlfi c..
(Nattie of party contracted to)
.. (,0, ...--. 1-) {) 1 .}
'-f l-,., VJ I J t:> ',.(. ; If &7."- f. ~/ !/v_
(Address whore work will be performed)
[(We) _ L I (\-,f}'\ 6!l..
.
{/f\'I2{-:>
'\.v- J:,
~~ (,} C; --:::
J I '1/ ./
at the following address:
The nature of the work consisTS of: (Check Onc or Describe the Nature of Work)
X Recl.'lunection or new mro1,lit for replacement Heating P~t and/or Ale Condenser.
Reconnection or new circuit for replacement Electric: Water Heater or power vented
water heat~t.
Reconnection ofth.e Service Entra.nce Cable. Meter Box, alterations to reeeptacles
and lighting fix.tmes due 10 siding I soffit installa.tion. Note: New Sen.'ice
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other perma.'"1ently wired
appIiancoo / fixt:Jl'es.
Newoircuit for the a.dditkm of .A/e to an individua.l dweUinguntt (house or the
mdiyidual systems in a duplex or condominium), including Iequircd service
dectrical Ol1tlets.
Othf:r
The value of this work is $/D('.)
r hereby v~rify t11is work will be perfQuned by an employee of ui:is company and further verify
the r~c:mectio:ll installa.tion will be done in complia.m;~ with manufacturer and. Electrk: code
reqwr~'7 ,
..' I./Jr- /1"1
(~ture of Co
5102
:;l~, H 7 V;"ry; c- f",
(Print Nam~ of Officer)
/ '" /,
oj 5/ ['I
. (Date)