HomeMy WebLinkAbout2007-HVAC (furnaces)
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OSHKOSH
ON THE WATER
Job Address 11061108 MALLARD AVE
CITY OF OSHKOSH
No
127795
HV AC PERMIT - APPLICATION AND RECORD
Owner RANDAL A LEE
Create Date 11/09/2007
Contractor
A-1 HEATING & AIC INC
Category ~OO - B~sic:lentl~I-Heating & Ventilating~
Plan
Fuel ~ Gas ___J IT_~___J UJ:lectric __J D_~~~~______J
System rr!:J~~____~~ [~L~ep~~________ ~
~_~~~ed Air::J 0 Radiant=J O:Steam-~==] D_~~~:-::==-~:J
m~~=::::J ~~~~] O-_Su"ppr.-:=:] D_g~n..~u!~~rJ
Chimney Type -= Chimney A--~ C~irnJ1~~=:=~IJ~~-~[~Q.'t==~==:.:O:},!gJF~Elj.c:c;l_ble ==J
Heat Loss D:..AS-Approved~===. Existing ___.-:__._Ql!o_!.6ER~~~====J Value
BTU Rate -=~~E'er Plan ~Yariable _._..___~.O Oth~_._________J Value
U_~g~_]
Other
D:\j~-rlr'- = :_
Use/Nature IDuplex I Replace both furnaces. EIV rpovided by Bell Electric~-----------------~----"----"--
of Work I
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!
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I.c_~_~_~~~____.~._____________.___._..___.__._.____._ _ ________________._______.______.___._..._____________.________ __.
Fees: Valuation
.. _ _.._g}?<l:~QO
~
Plan Approval
$0.00
Permit Fee Paid
$61.00
Issued By:
Date 11/13/2007
o Permit Voided I
.______________..::..J
Parcelld # 1522740000
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.
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City of Oshkosh
Division oflnsp~ction Se ces
P.O. Box 1130
Oshkosh, WI 54903.1130
Phone (920) 236.5050
Fax (920) 236-5084
.
OJHkOJH
. . ON THF. WATER
HVAC PERMIT APPLICATION
AU information after bold categories must be provided,
Incomplete applications will not be processed.
. Application(s) and fi e(s) can be brought to City Hall. Room 205 or mailed to Inspection Services, PO Box 1128.
Oshkosh WI 54903-1128. Commencing wotk without permit(s} will result in fees being doubled or $100.00 plus the
normal permit fee, ich ever is greater.
OR
au want this
I
DATE
JOB ADDRESS /1 & 1-- /I/J8 nl'1-L-~--D
OWNER 12.19-/\/ ~
vC
CHECK if ALL APP
USE CATEGORY
OSingle Family
A-I H~g &: AIC
BrmolDil&. 1f1 S4944
'l2...o-!,q - i g "3 g
CONTRACTOR.
OMulti-Family
ORental
OCommercial
DIndustrial
FUEL
{;I6as
DOH
OElectric OSolid
OSolar
SYSTEM
DNew
DOther
9!'<'Cplace
TYPE
~ed Air ORadiant DSteam DAlC DVrmt DElectric DHot Water aSupp1.tJCon. Burner
IS ~y BEIN LINEDBNo DYes - LINER SIZE
Note: All chimneys shall e sized per the BTU's being vented.
& MANUFACTURER
DESCRIPTION OF
.- [Sthimney A DChimney B DDirect Vent IiJdther
OAs Approved GmXisting DNot Applicable
EJ1(s Per Plan OV ari able DOther Value
L WORK BEING DONE ~.s-kuJ ~y h&'Ce..
Pve
CIDMNEY TYPE
HEAT LOSS
BTU RATE
V ALUE (Including lab r and all materials inc::luding light fixtures) $ 33 '7 '-/' -
~lroD
OR 0 Electric IQstallatlon Verlficatkin form attached{lfRq>lacC11"CllI)
Electrical 1mla/Tallon of nl!Wlreplacemenl equipment shnlllH done by licemed <<>>tlrQC'lor.
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3/02
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11/09/2007 FRY 10:20 ~A 920 733 2713 WATTERS PLCKBING
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Electric Installation Verlfleatlon
I (We) _~,__ 4?::- .._"..l~..Lt'f:.if': ~ .
('ElecttlCll) Contractor Nilme)
, .__ ,.. (J:q. ._......13 01-'.l $ '" ..,__--'!J.:!.!14.i1~
(Address (City)
"'/1 .rY?Sz.
(State) (Zip Code)
&-l tl~ rJ.'.4J (f ,.v-,=-_.
(Name of party contracted to)
dre~s~ -1/ (),@._11./0o /J1/(t-LI9-~ D ~. QSlflX:()!;/f
(A.ddress where work will be performed)
have b~L'n Cl\tltrl1G e<l to perform c:lcehic in,gtElU~tltln work for
Clrk ton~\st.s of: (Check One or Dl:~ribe Ihe Nature of Work)
ec nncction or new circuit f.,1 rcep-laccmenl BeatihS Plant and/or Ale CondCflBcr.
R~ MecHoD or new tircuit for replaccmenl Electric Water Healer orpowCt' vented
a\er hellter_ "
Ree nnr.:c1ion of the Service Entrance Cable, Meter Box1 alt~rRtio"s to 1"Ccepla.cletl
, . "d lightin.g fixtures due to RMingl soffit inat~n~lion, Note: New Service
'"trance Cables will requir~ a seporatc perm,l.
Rcc nne<:tion OT new c;rcuit forlhe replaeeme11t pf other pcnnan~ntl~ wired
pplia.nces I nxlurell, i
Ne circuit for Ihe addition or Ale to un individtAa/ dwelling unit (house or the
IIlli vidual S)'Slems in a duplex or condornlni~m)\ inducing required Illlrvice
leel rieal oll\1ets. I
(~h.r ~
".........._-...,
--""....,
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rh~ y:\hlC \) r \ hi work is $...
..__10
, hcrchy \'"cl'ir.y I i~ work ",:,ill he perfonnert by em employee oJthis company llnd fut1herverify
lhl: l'ceOIlIH:clIOl IlnsLallahol1 wi II he done in compliance with manufacturer n.nd Electric code
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(St!.~'4Jlllrt' 01 '('\1111l\my 0 frccer)
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(Prilll Name of Officer)
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