HomeMy WebLinkAbout2007-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 112 PROSPECT AVE
CITY OF OSHKOSH
No
127794
HV AC PERMIT - APPLICATION AND RECORD
Owner JAMES E/SUZANNE M HILTZ
Create Date 11/09/2007
Heat Loss
A-1 HEATING & AIC INC Category ~~:B~i\t~~!lal:-'::Ieatln~gc3c'{~I1liLa~tir1.g_~~_ Plan_~_d_____
~ Gas _~ O_OiI----l ~!J:i.i----J U~~~lar_u~__J D~~~IT~__==~=:-U!
lliew 0~E'2ce _____~ U()t~~~_~____~__u__J
~Forced Air.-J ~iant _J [JSte~--l U-NC__~=~:=J D~~~!--=--=:_,
O:EIec!!lC l O:HOfwater~ U~uppT.-=_~ D-Con.:[~~~r]
II gl1irrmey A ==== O~f1.i~~-:==-=O_.PJ.r~ct V~nt=~~~=:=O~f\!~L6PIJ~C?_ble==~=J
~A-~--_u-. E' r --------------O-'NTA-T--bT'-
~_L~s~Yj:>r~~~__________~~l)_~[_~___~_____, __()~_ppl~ae .
.=.6s=p~J:!ci:t1==:=u.~=~==-O=vi~i_~~~._:--. . :=:-0 Other-
Value
Contractor
Fuel
System
Chimney Type
BTU Rate
Value
UsefNature 's FRTRePlacefLirrlace. -ETV-provided'byBelf Electric.
of Work'
I
I
L~_____._____u__________~______m__
,
.. .._____._.__ _____..J
Issued By:
$1,687.00
th~
Plan Approval $0.00
Permit Fee Paid
$35.50
----~...._..._._..-_.-.-~
Fees: Valuation
Date 11/13/2007
o Permit Voided ·
._---~~----,-~
Parcelld # 1007910000
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
AgentfOwner
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 (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.
': :: ">.;r' :~:".
City of Oshkosh
Division of Inspection Servi es
P.O. Box 1130
Oshkos~ VV154903-1130
Phone (920) 236-5050
Fax (920)236-5084
. . .
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~
OiHKOfH
ON TI-IF. WATER
HVAC PERMIT APPLICATION
AU infonnapon after bold categories must be provided.
In~omplete applications will not be processed.
. . Application(s) and fe s) can he brought to CityHall, Rootn205 or mailed to Inspection Services, PO Box 1128,
OshkoshWI . 54903- 128. Commencing work without pemrit(s) will result ~n fees being doubled or $100.00 plus the
n0l11U11 permit fee, w ich ever is greater.
. OR
QU wtJlIt this
ee Account S stem and have ad
I
DATE
JOB ADDRESS
OwNER
CONTRACTOR .
-
c
A..IH~g&AIC
Hortoa~ W154U1
qLo-'" q- CJg3g
CHECK 621 ALL APPL CABLE
USE CATEGORY
esingle Family 0 up lex OMulti-Family
DRental
o Commercial
OIndustrial
FUEL
UJ6'is
DOil
DElectric DSolid
o Solar
SYSTEM
DNew
DOther
~eplace
TYPE
OForced Air DRadiant
DESCRIPTION OF
Steam ONe OVent OElectric ClHotWater OSuppl.ClCon. Burner
lNED ~ DYes - LINER SIZE & MANUFACTURER
sized per the BID's being vented.
IS CHIMNEY BEING
Note: All chimneys shall b
CIDMNEY TYFE
HEAT LOSS
BTU RATE
himney A . OChinmey B ODirect Vent rn4her
As ApPJoved QK"xisting DNot Appl~cablc
s Per Plan OVariable OOthei' Value
. L WORK BEING DONEJ1'\ S4-'l\ \ r\LY: t\~~
pye
VALUE (Including lab
and all materials including light ilxtures) $
/ tP8 7 ~
. PQ'"b~ i~
ELECTRICAL CON RACTOR t~, I
OR 0 Electric Installation Verification form attadted(lfkeplacement)
Electrical jural/adon a/new/replacement elJuipmen. shalf be !fone by licensen conlraClOrs.
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Electrie JnstallnUon Verification
I (Wl:,__,.__ _~~...."."P/~.t!~1-,..; (..
\ (Electrical Conlraclor Name)
, . ..._._1'-" .:.__,A I) ~---'!. $ ...". 1!t~"4)h~
(Addrcs ) (City)
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(Name orpnrty contrt\ctl:t1 to)
_l:Lil...__.ff!::!!s:.P t.,;f~T ~/G OS~~ H-{ wi'
(r-.ddress where work will be perfG111\~d)
}"I.we hW1 cl1ntra led 10 1'crfonn electric it\Slalllltion work for
rk cCnS\SUl of: (Ch~ck 0110 or Describe the Nature of Work)
nncetion or new circuit foneplaccment Healing 'Plant and/or Ale Condenser.
nnection or new circuit for replacement Et~ctrjc Water Heater Dr power vented
atcr It~~tcr.
nnection of the S~rvice ~nt'ance Cable, MeIer Bax, alterations to receptaclrJ9
md Hghting fixtures du~ to ,~ic.Hns I somt installation, Note: New Service
'ntrance C~bles will require a separate pen~it,
Re onnc:cticn or n~w c:ifCtlitfor tne replacement' of other ~cnnanently wire<t
ppHanccs I fixtures. :
>I(~ circuit ior lhe addition of Ale 10 an ;ndit,lw'ufll dwellfltg wilt (house orthc
il\d ividual systeM'S illlllluplex or wndomlnCum). .ncludin~n:q\lired service
'Iccln<: ~11 outlels, :
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.l.
-rlt~ '\'nhlc or Ih i wcr).: is $.. .__
--'
I h:~:by \'C'~i fy li~ work ~j II he, pcrfClnned,hy ltn et~pl()yee ~fthis company and further verify
lh~ 1~<:()lIn\.:C1l0 /ms\aHaholl WIll be done: m comphanc<: with manufacturer nnd Electric cade
1"l:ll\lll'r.lm'l1t~. 1
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(. I!Jnalllfl' t\I' ~o"'puI\Y OfficeI')
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(Prinl Name ofbffi~cr)
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