HomeMy WebLinkAbout0127796-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 303 E PARKWAY AVE
CITY OF OSHKOSH
No
127796
HV AC PERMIT - APPLICATION AND RECORD
Owner TIMOTHY J/AMY L BUCKLIN
Create Date 11/09/2007
Contractor A-1 HEATING & A/C INC
Category ~O()~ B.E'sid~ntia~~IjE3aJing .&\feflElat!flR __ Plan
Heat Loss
f71...... G....-.Cls-.-_.-_~_..-_--..-.: D..._.'.'.o__TC.'-~.-.... D
L:-L_... ~ ~ .... ~__ . . 'E~~tric_~~~]
O__f',I~,^,,--~____~__J 0__'3.epl~_c~_____
~ Forced Air::J IT Ra9iant==] D-~~~_=.=-J U AlC-----==J
U~lec!rlc -J aJ:i~!_Water:~J D~~.PpT-~~=.J U Co~. Bll.':~~
DCiiirnneyA'--~him~~==D Dire~t VenL~_==.__Not Applicable =-=::J
IT~"&proved----'~~_-====--=_Q_f'.I.().tAP!ilicib~==:] Value
o Asyer PI~fl._= (2 Va..ri~J.E'.__=-_='==--==._6iti~~._:~:=:'~=:] Value
D:~~ar:~--
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Fuel
System
Other
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Chimney Type
BTU Rate
Use/Nature puP-lexTReplace furnace and enlarge duct to 2nd floor apartment. EIV-provided-by Befi-Efecfrrc.-----.~--.-----
of Work I
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Issued By:
$2,945.00
~
Plan Approval __.____._ $0.0.9
Permit Fee Paid
_......____~~5_'_QQ
Date 11/13/2007
Fees: Valuation
D. P~rl11~~~oided
Parcelld # 0403410000
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 ~hone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work Jinay
continue if the inspection is not performed within two business days from the time the project is ready.
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OJHKOJH
ON iHF W^TER
City cfOshkosh
Division ofInsl'ection Scrv ces
P.O. Box 1130
Oshkosh, WI54903-1l30 '
Phone (920) 236-5050
FaX (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applicatio,ns will not be processed.
. Application(s) and fi (s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
,Osh,kosh WI 54903- 128. Commencing work without perInit(s) will result in fees being doubled or $100.00 plus the
normal permit fec, w ich ever is greater.
, OR
I
ee A ccoun t S stem and have ade
DATE
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OWNER
CONTRACfOR
n1
A-l HtetltbfB &- AIC
1l0rt0a", WI 54H4
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9SY- FJ3 'I
(l'2-0-,' '1- ~g38
CHECK ~ ALL APP
USE CATEGORY
OSingle Family
DMulti-Family
ClRental
, OCommercial
OIndustrial
FUEL
l!Gas '
DOH
OElectric OSolid
o Solar
SYSTEM
ONew
DOther
pep lace
TYPE
~orced Air DRadiant Steam ONe OVent OElectric ClHotWater OSupp1.DCon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall b sized per the BTU's being vented.
CHIMNEY TYPE
REA T LOSS
BTU RATE
- OChimney A
OAs ApPJoved
CAs Per Plan
tJChimney B
~isting
o Variable
DDirect Vent ItJOther I V L
DNot Applicable
OOther Value =--YlJ) tI Q ()
V ALUE (Including lab r and all materials including light fixtures) $
~q'-l.5.(jV
ELECTRICAL CON
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bylicelf:Jetf CD1IrMC/ON
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Elcttrk lllstanatlon Verification
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(Electrical ConlraclDJ' Nume)
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'._. ... fJ..:'? '_" .!j_p:'~_1 ~ $ ......._..J!l!_tlt;.J!t~~_I,.,/, . ..-.-...'} y ~ ~?-
<Address (City) (Stnte) (ZIp Code)
h;IVC been CI11\ln\<l d 10 pcrfoml cl~c\ric il1$llitlation work fer .......J!t=/ H ~ ';'f.l~..!!.-lI.c.~_1
. (Nmne of party contracted II))
:lllhe follOWIng a rlre~s: __~ OJ. e _f!!.!'J(~,.y .{)J),.I{f1S~ ~N'\. I!f-i.,!':.--.
LJ f1 (Addr~ss wl1ere work wi1\ be performed)
r- I L7Jt~ c., h '1J Y - 873 i
T!i\: J1il1tm: or (he ark consisll:l of: (Chock On~ or Ooscribe the Nature of Work)
._.__~eco ncc\iOfl orn~ citcuil r<1r re:plncemen\ HCllting Plant I1nd/or NC Condenser,
Re ecliol'l or new cirelltt for replacement Electric Water Heatcr or power '\'cnted
ater hewer,
Rec nnection of the SCNice Ilntrance Cable. Met;or Box, alteralioT\s to reetlpt~lo9
U \0 Lighting flxturel> due 10 siclioS I soffit ;n5t~nation. Note: New Servic~
ntrance Cables will require [1 scporate t>ennil. .
Rec nJ\cction or new cireuit fer the replacement of other permanently win:d
plianccs I fll(IUrcs. :
New circuit for 'he C1dditlon of Ale to an IndividufZl dWfJl/lltg unit (house or the
; tdividl.lCll systet11S itl ~ duplex or eondominium), )ncludin~ rcquir~ service
lcctrici\l O\ltiet!:l,
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rile yallle l.~f ,hili work is $
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I herchy \'cri['y, ~ work ~i\' heyerfonnecl.by un t..'rnpro}'et; 0\' this company Ilnd further verify
lh~ rCCtlllnC(:th'l" !t1!;lallahotl WJ11 be done m compliance with mnnu(a.c1urer ll.t1n Electric. c'Jdc
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(Print Name of Officer)
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