HomeMy WebLinkAbout0127951-HVAC (furnace; chimney liner)
e
OSHKOSH
ON THE WATER
Job Address 1644 LIBERTY ST
CITY OF OSHKOSH
No
127951
HV AC PERMIT - APPLICATION AND RECORD
Owner HARRY W/SUSAN KOSTER
Create Date 11/21/2007
Contractor A-1 HEATING & AlC INC Category ~~=- Reside_nQEll:H~atinJL~-'Y~!:1!!!?_ti~L_ Plan___ __ _ __________
Fuel ~ Gas D:orr---l CIJlecTrfc=J LLSoIEl!____~_J D~s--~iid----:==:!
System ~New i [?]J3.E:lplace ___~ Clqth_er_______________l
~ Forc~ U~~::] U Steam ____J U AlC _____J D~~~t --~:::_1
Wlectric D Hot Wat~_J O-SLlppl_____: _ J U Con~if~~]
Chim ney Type D=gJlfu1_~y A=_D.Q~il11_n=E:li:[_=__-=:--:TII)JrictV;;_6t--- --:=:---.:ti<2IApplic:a:bT~ -- --=:J
Heat Loss DA~Epp]~~~~:-=:-=-:::.E--"TStL~9:-- _u- ._-:::--::::O}~Of~RPlic~ble - - Value
BTU Rate O:EsEe!:Ef~n=:=::-=:=I:r~!Ta5[e--::- - -::-_::-__:.c:5ther - Value____.?9,QQO
Use/Nature ~I:RTREPLACE FURNACE,TNSfAU:3"CHlrVlNEYUNER:- EI'JsIGNEiYBYBEL[ELECTRIC.*check#8895 ..
of Work I
I
I
l___
I
___.J
Fees: Valuation
$1,687.00
Plan Approval $0.00
Permit Fee Paid _______________$}!j.50
Date 11/27/2007
Issued By:
D_~ermit Vo~ded I
Parcelld # 1207780000
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.
City of Oshkosh
Division of[nspection Servic s
P.O. Box 1130
Oshkosh,VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5D84
~
OJHKOJH
ON THE W^iE~
HVAC PE,RMIT APPLIC
All information after bold categories must provided.
Incomplete applications will not be pr cessed.
JOB ADDRESS ~ '
OWNE"R f/A-,e.t2
CONTRACTOR .
ee Account S
check here
. Application(s) and fe (5) can be brought to City Han, Room 205 or ma led to Inspection Services, PO Box 1128,
Oshkosh WI 54903- 128. Commencing work without permit(s) will r sult in fees being doubled or $100.00 plus the
normal permit fee, w ich ever is greater.
OR
J
DATE
/ f- 2() ,- c)7
- T e-l..{' I-f
A~l Heating & Ale
Lc-'" q- ~g3tg
HQ1fDlfrillB, Wl54944
~_E CATEGORY
~ingle Family
DMulti-Family
DRental
o Commercial
Olndustrial
FUEL
WGas
bOit
OElectric OSotid
OSolar
SYSTEM
ONew
o Other
GlReplace
TYPE
OFo~ced Air ORadian OSteam ONe DVent DElectric DHot Water
IS CHTh1NEY REIN LINED DNo ~Yes ~ LINER SIZE .3((
Note: All chimneys sball e sized per the ETU's being vented.
& MANUFACTIJRER
3~-I)eiC
CffiMNEY TYPE
REA T LOSS
BTURATE
- DChinmey A
If .,.As Approved
: .....As Per Plan
DChimney B
n;;mxisting
OVariable
ODirect ent
DNot Ap licable
DOther alue
e6her pir C
gc; r () 0 () i)', u...
DESCRIPTION OF ~L WORK BEING DONE G i B S6
, t. ,-I ).-13 (. N:f/ Llre-
r;..eJl9J
$c;
V ALUE (Including l or and aU materials including light fixtures)
ELECTRICAL CO
OR 0 Electric: InstallatIon Verific:atkm form attached{1f Replacement)
&/riclll ins/allot 'on of new/replacemenl equipment shrrtl be done by Tic/!nsed conm
~-
UI-f.} ,el!;!j
16S-TeK
e.,{, D
}; b If-
~--.
~
l..d
50696l.l.0261
lIG~O~ ~I8 GN8 ~~Il83H IH
- '--''' --- .--'-
Wd~2:21 l.002 12 ^O~
il/ZO/Z007 TUB 11117
920 733 271;
,
. .... '~'~.(-:'~'1:.....{,;~\...'~~:~~:\:r~.~;"1::<t~';.~H~..t(.,~::t~:~~~l.,' ~' -'!'/.w~{~~;;,).~~.~r~r.~~~~.;..1;7~1~~'
~
Q{~tJ
Elect!
IlWe'1_,...__ ~L~ .........P.i
p" ..13 I) v
..__ ~"'_.' _.._....,,_....L:'__
(Andre s)
!lave: hee I' clIntri! ~ t~d to perform (:'
.. SRS t'LOMBINC
.,~;, '-,T.:Y~~)i~~~~f~!?-lfi~1?;
:. t.nlJntlor:
- r') (..
; i en1 Conlract
11/~".
(Cit\.'
~ ;nsloUtltion..
~003/(}O::l
X{f;.~: .~'t';':':::f~r;r:f~<;~.:t::t.~t:~~;-:::J~,~,"~~'~.~ }r;l;~'~'~':;':' .~"'I'~'.~;"-::\:~':"';: :.:: t-:"
.... " . .;. '~.:!'.
yt
al the followitlR
(
7'2-0 ;;X:;/-ltt:.( ,
ddress: !-f11-1UUj hilS~... I~ LfLfL/
. .'\dress where
Th~ na\tll"C of In work con~ist!; 0'
Rc nnec:\ion or ne\\
Re ~nnection ClT l"1C\'
at er heater.
t'\tlectj on of the
t,d H~htin~ fi~t~
'Iltrancc Cables
R c[nncction or \1~\,
rPpHnnces J nKtt'
-;-l<lctrClli! for Ihe c.:
lid i vidual syslei,
'ICCllicilloutlet,
<'>"T
""'--~y:' ....--....-....,
TI'I: ynh!(; "r I
work is $",_____.
t her~hy ,",'tiC', 1 is work will bl.: .
the f'''~~)lm'l:('li "I installation wi~
l'c4\lir~('H'IH~ ,
r~
,~ ."
. t_ .. .;.
(S\\.!.t'l;lIlm'
, : k One or [:
~;: 10 r replacel
,,' io r r~l'lll\ce!
. , Qn~rancc C
.1:. to ~iding / :
~"uiTe a sepoy
:: for lite repl
01' Ale to HI
, .lup Ie", or CI,F
':l hy :m eJn
i.; in compli
/~..
._-~
{Print't':
Jo.s J,.. )J-r" t-r1J. }(OS-7et--
~
Sod
S069SL.L.0261
;:-1 t 1:J Q/.-."
: Box l alterations to 1'eceptacle9
: I a\iQn. Note: New Sel'\licc
other permanently wired
I dwellin&, unit (house or the
). including ~quired serviel:
",-_...._...._-~
. this cornpally and fu1rther veTify
manufacturer lUld Ellectrlc cQde
.)
iti_
'fleer)
IIb€{ ~~? _
(Date)
, ~~Il
.:=JH 18 WdL.O~2t L.DO~ 02 t\ol-J
..._.____w..,_.__ ,.......-----___ -.-
S.d
SOSSSl.l.02S1
. .
~Ia~O~ ~I~ aN~ ~NI~~3H 1~
Wdv2:21 l.002 12 ^ON