HomeMy WebLinkAbout0127793-HVAC (furnace)
o
OSHKOSH
ON THE WATER
Job Address 818 CENTRAL ST
CITY OF OSHKOSH
No
127793
HV AC PERMIT - APPLICATION AND RECORD
Owner RICHARD E KOCH
Create Date 11/09/2007
Fuel
A-1 HEATING & NC INC Category 500 - Residentia~Heatin9..&_~~~__
L~L.Q~s_______-.:J D~______:J IT~~El~tri~____J U~~ar_______ J
D_N.~v:'__n_____J 0 F3.eplac~_________ __J
171 ] IT D.,... _-..,-..S,.,t,.e._.a.,~m,', _,..,'.._,n....~-_-.'...-!,
~__T~~~9__~~_=_ bJ_~~~cIT~~_t_-=~nJ , ,. _, _.__. _,.
0: 1 D D. ,_'.S.,'. u'''.p..'p'r----' D.,'.,c.'.',o_-n,nSl.lrner-',.
n_~f~~f6~~=:::~.J .._BilC~~r:_, ,. _ _ ..
[ICh[~r'-ey~===_ __==O~llii1]~~y-B=_-___,,__-D:l5lrec[',7~~__t____,,__'. ... __:.-...~Olf\eel]~~:bl~__
D=~~=~~<[==-==::__.J~~~tjflg:=.::_:n_=:::=:O}J~fEpyli~~~i~::-=~_=J Value
__As Per Plan '-=0. Variab~_===:===_=,:=a_Q!E~=-_-==:==-===] Value
Plan
Contractor
System
Chimney Type
Heat Loss
BTU Rate
UselNature ~FR / Replace furnace.
of Work I
I
I
i
I
I
,_
, ---1
!
I
EIV provided by Bell Electric.
Fees: Valuation $1,687.00
Issued By: ---~
Plan Approval ________ $OJlQ
Permit Fee Paid
$35.50
Date 11/13/2007
Du~~_rm i~Vo~d_e.9J
Parcelld # 1005520000
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.
'.. . .',.' '~H',''':''.
~ " ".: ': . ..' '.-: ~'.
City of Oshkosh
Division of Inspection Servi es
P.O. Box 1130 .
Oshkosh, VVI54903.1130
Phone (920) 236-5050
Fax (920) 236-5084
.,
OJI-KOJH
ON TH~ WATeR
HVAC PERMIT APPLICATION
All infonnation after bold categories must be provided.
Incomplete applications will not be processed.
. Application( s) and f1 (s) can be brought to City HaU, Room 205 or mailed to Inspection Services, PO Box 1128.
Oshkosh WI 54903- 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
nonnat permit fee, w ich ever is greater.
OR
i
DATE
JOB ADDRESS
OWNER.
CONTRACTOR
&-1\17/2../9- L. S
'Ocfi
A-1Hetding & AIC
HOI'ItJa~ W 54H4
q2...0-' .,q- i~3g
USE CATEGORY
~gle Family
DMulti-Family
DRental
o Commercial
Olndustrial
FUEL
BGas
OOil
DElectric DSolid
DSolar
SYSTEM
ONew
OOther
BReplace
TYPE '
~ed Air ORadiant OSteam DAle OVent DElectric DHot Water ClSuppl.DCon. Burner
IS CHIMNEY BEIN LINED ~ DYes - LINER SIZE
Note: All chimneys shall sized per the BTU's being vented.
. & MANUFACTURER
CIDMNEY TYPE
HEAT LOSS
BTU RATE
- OChimney A
OAs App]'oved
~s Per Plan
DChinmey B
'l9EXisting
OVariable
ODirect Vent GOther
ONot Applicable
OOther Value
fvC
DESCRIPTION OF 'L WORK BEING DONE .:e:, 5t<t-f1 i:tlVJ'\C<<.€. .
VALUE (Including la or and all materials induding light fixtures) $
11087 ~
~ 3' .Sb
ELECl'RICAL co
CTOR /$c II
OR 0 Electric: hlstaUation Verification form attllched(Ir .Replacement)
Ei;tn'cal wliIllatlon of"ewlrepracem~nl equipment shall be dlJllt! lJy /icen$ed colltmClon
Jf0V YI'17
3/02
Sod
S06S6LL0261 lIa~O~ ~I~ a~~ ~~Il~3Hl~
Wd61:S L002 80 ^O~
11/09/2007 FRI 10119 F~ 920 733 2713 WA'l'rBRS PLUMBING
~
~~'\7r.:UWr.1
~~
I (We) ____."
~005/DOB
('i" 0 Chhkl"l,
ni.lt "nll.upa,'Il"n Sa...I...
J II C' .,r~ A..n\ll"
Pile 1110
Uthk. I. \II I HtJUl. 11)1)
tJl1\le a 1(l.:l!)tI.j DSoO
.... " o. nl"so..
Electric Installation Verification
~ LL- 1:2 L ~ c.r}. t'j' (..
_ _....._ ~.....,_..v:___~
(E.leclric~) COn\ractl)r Name)
h!...' S- Y ?$ :2.
(St.,te) (Zip Code)
have been ennlrn \ed te) perform clcc1Tic il1RhsllatlM work lor A-I t/t!fjrJ.'.!IJ.r &.'--.,
(Name 0 r party contraetiX\ to)
I
at Ihe rolltlwing ddreRS: 8.;? c.~-:NII'(I7-/.- cs-r ~".stl-. WI
--(Address whe;-work wilt be perf~)
f!., ~ t>~ . J I ~ lJ1~u1~.)he.
--.' _._.~.._-_.-
.. <I~dd r~~') .--.- - . (City)
~'
1111.: MIme or th work consists of: (Check One or Describe the Nature of Work)
..... ~e onncction ot' new cill:uit fut r"plncement Helling Plant and/or Ale Con<tenser.
__ Re oMeclj on nr new cir<:\tit for r~plDccmcnt Eleeuic Water H=ater or power venled
water heater. .
Re (l",",cetion of the S~l.."ice Entl'am:::e Cable, M~t6r Box, al~ratjon$ to reeepl~h:ll
and lighttny fixtures I..hlc tn ,~i(1inG I soffit ;mlt;l1lat\on. Note; New Se"",,je~
'Enttance Cables will require a separate permit.
Re om)cction or new eircuit for th.e rel"hlcement of other pcnnatumtly wirl:ld
appliances! fixtures. I
;-.J( cireuil fof' the addition or Ale (0 an fnJMtLull( dwelling unit (house or the
individual systems ill II iJuplex or eondominium), includirlg required Bervice
cloclriclll oU1lets.
___ 0 er
~~:. .--..- ........-.....:.....--..--.....-..
Th~ 'iohlC i,)f II to: INork is $, ,,_ .
1>.__'
I herchy \'crif. his wo.rk will he ,)crfonne.d hy ItI1 empl<Jyec:ofthis company and rurth~r verify
Ill.: n-CIIIllICCli \ I insl:i\l1alian will he done in compliam:c with manufacturer nnd Electric code
r~~lll irCll'I'IIIS.
Clod
S.d
~L~}-
I (:~mpl\ny Offi~~;:)"".'-
._J.1i._t)~ _
(Print N~mc 0 t Officer,
J.i..=..i_ -0-'1
(Onte)
-=t-:rJ t/
~nll
.l!- t...{ / Cj;/
A-p V' ~
'.1 #.
nc::qC::1/n:::7C::T I TnLln'1 ltolfl-l nl.ll-l ~l.lrIU':l'-l Tl.l
U~~T l~ Jnn~ An ^QU
SOSSSLL02ST lIaNO~ ~I8 aN8 ~NIl83H 18 W8~~:11 L002 SO ^ON