HomeMy WebLinkAbout0127797-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1206 W 11 TH AVE
CITY OF OSHKOSH
No
127797
HV AC PERMIT - APPLICATION AND RECORD
Owner LESLIE J SCHULTZ
Create Date 11/12/2007
Contractor A-1 HEATING & A/C INC
Category ~9Q:~esid_~tial-f:l~~lng 1l._'{~I1!ilaJil1g___ Plan
I.7rT------l D . 0... -Electrlc.-...._-.._--_.J' nc ___._._...m..__-. D.-------...-.-.---..!
Fuel ~~_s___:Oil--=-=-~J .. . LJ~~c:tL___ ___.J _._ Solid ____ __ !
System Qr\:'-e_'v\'.~________.J ~L~epl~_u_.__u__ _..J D_OJ~r_____.J
VorcecTAIrl 0 'Radiant U] D~~eam----:] U A/C --==] O.Vent ---~:]
O:::E~~J U_ Hot Wate~:::J O--Su-ppl.-:_::::J U Con.:.~u!I1~r:.l
Ch im ney Type Q Chimrl~YL_.__Q.Qb~~::::::-::::O}il~ct. \{~n_C::==:I:r\IqI;L\peli~a:~I~_.:'-:~J
Heat Loss ~Approved -----:::. Existing::=~::=-:__~=:O-NOtAppTicabje:::::::::::_] Value ______
BTU Rate ._~~_Per Plan ___ () Yariable_:::::-'::::::---=::::'::::D_Qlb~L_--:_::::::::=::] Value
Use/Nature [SFR (Replace furnace. EIV provided by Be[jE.iectrIc.--------------.-----~m----------
of Work '
Fees: Valuation ___.___~~_,687,QO
Plan Approval
$0.00
Permit Fee Paid
$35.50
Issued By:
~
Date 11/13/2007
O_~~r~i~y_()id~dJ
Parcelld # 1308030000
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
WI 54944 - 0
Telephone Number 920-779-8838
Address W8078 HILLCREST CT
HORTONVILLE
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.
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City or Oshkosh
Division of Inspection Se
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax. (920) 236-5084
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OJHKOJH
ON THF. WATER
HVAC PERMIT APPLICATI.ON
All infonnation after bold categories must be provided.
Incomplete applications will not be processed.
· i\pplicatioI1(s) and e(s) can be brought to City HaU, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903 1128, Commencing work without pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, hieh ever is greater.
OR
ee Account S stem and have ad
/
DATE
JOB ADDRESS 1:2. i) ~
OWNER )...&;:5.02
CONTRACTOR .
Ju 1/ 'fl. ,/I-r/ ~
&C/TULI
A-I Be!Jting&:AJC
, .
BonorwilltJ, WI 54H4
qLo-." q... ~~38
CHECK 21 ALL APP ICABLE
~~CATEGORY
~ingle Family
"
ClMulti-Family
o Rental
OCommercial
o Indus trial
FUEL
~s
DOll
OElectric DSolid
aSolar
SYSTEM
ONew
o Other
~eplace
TVPj;
EItOrced Air ORadiant Steam DAlC OVent DElectric DHot Water DSupp1.DCon. Burner
DESCRIPTION OF
& MANUFACTIJRER
IS CHIMNEY BEING LINED DNo 8'f"es - LINER SIZE
Note: All chimneys shall b sized per the BTU's being vented.
CIllMNEY TYPE
REA T LOSS
BTU RATE
DCjl~Yn?ey B
~x)stmg
OVariable
ODirect Vent oother?1l c...
ON ot Applicable
DOther Va~ue
:::rA S+a:-f ( +i4d'....~a C €-
L WORK BEING DONE
VALUE (Including labo aud all materials including light fixtures) $
/(Pg7~
+36" 50
ELECnuCALCONT CTO~
OR 0 Electric: Installation Vtlrlficatioll form att2c:hed(tfReplaccmCTlI)
Eke/rical ins/al/all'an a/new/replacement equipment shafl be done by !lCQIsed co/ltrada'
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Eleetri',lstn .at'on Verification
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(E '.ie-a I (. '.mtraeto( Name)
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(Addres )
));1\'(: been CUI\lra
:lIlhe fOllowing il dress: ~
1l1l~ nillllrc of the ork consists of; ,
Reeo ncclioQ or new c,
Reeo eetion or new c:
\ aler heater.
Reeo lnee1;on of the St,
II d lightlng fixture:
F; tr..nce Cab Its wi!
Raco l1ectionOfntW ci
11 pliiUlcc:s I .lhlUre~'
:'-l<:w irClJrl for the addi
j" ividuul syslems i
c! clrical otltleh.
Olher
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r1lt' \i11111C L:lr Ihis W rk is $, .
I h~r<:hy \'cl'ify Ihis work wHl he per:
Ih\.' rCCCHlIlt,,'C'liOIl f j lslaU~t ion will be
n:q ll! rem "111$.
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(City)
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(St~Cc) (Zip Code)
~ jWHu :ation work for A.-I fl.f!!L.rfIHJ~~1
(NBJ1'l1: ofpart)' Cc:lntracted ro~
ld.l I / ~ IrVE tJ.rHI<. ~S.U/.YX/
ddre:. where W<Jrk wUl be perfnnned)
~ck c~ or Describe the Nature Df Work)
il for: :placemeflt Heating Plant and/or A1CCondemet,
it for L:plaeement Electric Water Heater or !'ower V1:Intcd
~ Eni nee Cable, Mcte!lr Bax, alterntions to recepl8cl~a
:.; If) f. ;.t'l8 ( soffit installation. Note: New Service
quite separate penni!.
i for. e repl.llC;ement of other permanently wired
l or A ~~ to an "'/tJ(vi'du(1! </welling unit (house Qr the
:J\IP It or CC,)71dominium), including l'CCluircd sc/Vice
--....- .... ~~--_.,_;-........._._-
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:'.c1l; ,
:.r) employee ofthh company Iilnd fbr1ner verify
:-:'1plianc:c with manufeoturcr and Electric code
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