HomeMy WebLinkAbout0127627-HVAC (furnace; chimney liner)
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OSHKOSH
ON THE WATER
Job Address 257 W 15TH AVE
CITY OF OSHKOSH
HV AC PERMIT - APPLICATION AND RECORD
No
127627
Owner HALLIE RUSCH
Create Date 11/02/2007
Contractor
O'NEILL ENTERPRISES INC
Category 500 - Besidential-Heating & Ventilating
Plan
Fuel ~ Gas I OolT-~
---..-J
System o New I
~ Forced Air ITRadiant I
U Electric U_Hot Water I
Chimney Type o Chimney A () Chimney B
Heat Loss U As Approved . Existing
BTU Rate o As Per Plan . Variable
U Electric
o Re~~_______J
U Steam J
o SupjJI:____J
U Solar -::=J O-SOI1Cl___J
D_g!~_er..________.. !
U~_____-=I 0 Ve~___m i
U_Con.~~!~i]
___ Dire~t Vent
0_ NO!~[ljJI~~~_ ___ ]
o Not Applicable
~
Value
]
J
Value
Use/Nature ~-FR / Replace furnace, install 4" chimney liner.
of Work I
I
!
!
l____________
EIV provided by Hullar Electric. "DEBIT ACCT'..
Fees: Valuation _____..1~!~_().00
Plan Approval
$0.00
.--0- .__,_..,._~.____ _____~_.._.._
Permit Fee Paid
$58.00
Issued By:
~
Date 11/02/2007
--,-------
o Permit Voided '
-_.._-_._._,--~
Parcelld # 0901960000
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
522 W 6TH AVE
OSHKOSH
WI 54902 - 5916 Telephone Number
-~ ------ ---
23Q-2007 (office)
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
~10/19/2007 11:28 FAX 19202302008
::: City of Oshk<>sh
Division of Inspection Services
P.O. Sox 1130
Oshkosh, VVI54903-1l30
Phone (920) 236-5050
Fax (920) 236-5084
ONE I LL ENTERPR I
141001/001
HV AC 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, POBox 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or $100.00 plus the
normal penn it fee, which ever is greater.
OR
I
** Advisory. For applicable projects, an Electrical Installation Verification (EIV) fOIm, signed by the Electrical
Contractor or Homeowner (for installations allowed to be pelformed by the homeowner) must be submitted
with the pei:mit application. Applications submitted withoutan EIV when such'.is required, will not be
processed for Petmit Issuance and will be returned for completion.
./
DATE ff). ;q. 0'1-
JOB ADDRESS 067 t<..J. I !!5+h II tie.
OWNER jJtJl'tn4.i1 iJJLL5{Yh /fialli-8
CONTRACTOR QIAJRJII enterprj~~s
CHECK iii ALL APPLICABLE
.u)m CATEGORY
;gJSingle Family DDuplex DMulti-FamiJy
DRental
OCommercial
o Industrial
FUEL
(tnas
DOH
OElectric DSolid
OSolar
SYSTEM
DNew
DOther
~eplace
TYPE
~Forced Air o Radiant DSteam DAle OVent o Electric
~ CHIMNEY BEING LINED DNo J(Yes . LINER SIZE 1/ H
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChimney A OChimney B riIDirect V cnt
HEAT LOSS OAs Approved DExisting iiJNot Applicable
BTU RATE DAs Per Plan lii:Yariable OOther Value
DHot Water DSuppl. DCon. Burner
&MANUFACTURER ()~flr~.
Dather
DESCRIPTION I SCOPE OF ALL WORK BEING DONE
VALUE (Including labor and materials) $ ...3~()O, {J.>
.'
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
~~
07/07
~11/02/2007 09:53 FAX 19202302008 ONEILL ENTERPRISES
::: Jan. 8. 200710:31AM . inspection se,vices
~ 0011001
, No, 0608 P."1
~
OJH<OJR
nN nil: WAtloiA
City Of05hkclllb
Divisi.o1I ~f1ft8P;crion ~c...
21$ Chltl~b ^~II;
PO 90;\ 1130
OIhk06h WI 54903-1130
Olfrce !>20-23G--S'OSO
Pax 920-~3G--S084
r.(We)
Electric Installation Verification
.. t1i}:~ ILl/lor' {;.O~ /tl/1lV r/~JpL
(print homeowner(s) name)
Lt.C.
thehomeowner(s) of
~ ' . ~ A
5 7 ~L. .._. J S" , " ~.~..- .
. (address where work is to be performed)
accept thcrcsponsibility for pcrformin:g the electrical work as stated below for the property listed
above.
The nature oithe work consists of:, (Check One or Describe the NatQrc of Work)
,_.._L R~onnectioll or new circuit for replacenlent Heating Plant aQd/or ~C Condenser.'
Reconnection or new circuit for replacement Electric Wate! Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnecti.on or new circUit for the replacement of other permanently Wired
appliances / fixtures.
New circuit (or the addition of AlC to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric 011 a single f(!mily owner occupied home. Work OIJ a condominium,
duplex, rental, or multi~use but/ding would require a !teensed master
electrician. . .
Other
TIle value of this work is $.....5:0, w
I hereby verify this work will be perfonned by me and further verify the recoImection I
installation will be done in compliance with,manufacturer and Electric code requirements.
....... .
.....;..
~
~eoWner(.) Signature
-1/ /.1. ~O? .
a.e)
5102