HomeMy WebLinkAbout0127949-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1803 OREGON ST
CITY OF OSHKOSH
No
127949
HV AC PERMIT - APPLICATION AND RECORD
Owner
CAROL A WilLIAMS
Create Date 11/21/2007
BTU Rate
0":::Gas------'
_ ____.-J
OJ-J.ew
~ Forced Air
ffilectric
ITfhimney A
O_As Approved
() As Per Plan
u_ Oil ~-=-~~J
Category 5gQ_: _'3e~i~t~~Eal:HElatinB8cY_El~!!!~Jir1.g_
[JJ:~ctrT~~~~-J
Plan
Contractor A-1 HEATING & AlC INC
.. ----_.__._,-_._--,_._~._--_._---------
System
~
l?l Replace ________ __ J
[J Radiant J ~mi U Alc----l
~~J U Sufle!:____J U Con. BurnElr_1
--0 Chimney B __0 Direct V~nt~=--===.~~lAEplicable ==J
-"~r------.------O-NtA--T-bT-------_._'
_._~s 109 ______~__ _.2._..pl'_i.c;.Cl.._El ______j
() Variable _____ Other ______:-]
r--,--:. _____n__ ------ .--,------- _n_.
LLSOla!__________.J u_ So~___j
O_()Jh_~r___ ________
O-vent---.J
Fuel
Chimney Type
Heat loss
Value
Value
_ _ _ __ _________~O,go_O
U..~~~~~ [-opm (UNIT 1803) I REP~CE FURNACE. EIVOIGNED ~y BElTElECTR~ Go6~078~hed m95) . . .
-- --I
,
,
._~-_.,._. .---------"-.-..
Fees: Valuation _______..!1.!..68"(,QQ
Issued By:
Plan Approval __________ ___ $0.00
Permit Fee Paid
$35.50
Date 11/27/2007
D Permit Voided i
_ _________._____..J
Parcelld # 1404760000
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
HORTONVlllE
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 ofInspection Servi es
P.O. Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236.5050
Fax (920) 236-5084
~
OfHKOJH
ON THE WATER
HVAC PERMIT APPLIC TION
All information after bold categories must e provided.
Incomplete applications will not be pr cessed.
. Application(s) and fe (s) can be brought to City Hall, Room 205 or m' iled to Inspe<:tion Services, PO Box 1128,
Oshkosh WI 54903- 128. Commencing work without pennit(s) will esult in fees being doubled or S100.00 plus the
normal permit fee, w ich ever is greater.
OR
l
ee Account S tern and have ade
DATE
OWNER
CONTRACTOR
,--/'I' Sf
w ,.U /1/' .I7-7/)
Aal Beazmg & Ale
Hommvilk, WI 54944
'Lo-l' C'f- ~g 3g
USE CATEGORY
DSingle Family
OMulti-Family
ORental
o Commercial
OIndustrial
FUEL
s<ias
DOil
DElectric OSolid
OSolar
SYSTEM
DNew
DOther
~lace
TYP.,.E
ISJl"Orced Air ORadia t aSteam DAle OVent OElectric OOot Water DSuppLOCon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE
Note: All chimneys sha be sized per the BTU's being vented.
CIDMNEY TYPE .. OChimney A OChimneyB ODirect Vent OOOther ,We..
HEAT LOSS OAs Approved I1Existing DNot A plicable
BTU RAl'E EJAs Per Plan OVariable OOther Value ?o; 0 CD B. 1--.'1
DESCRIPTION 0 ALL WORK BEING DoNE-kcrna. L.-e
6-,-bSo~ ((, G; ~ {P.v t? e /2
&. MANUFACTURER
V ALUE (Including abor and all materials including light fixtIJres)
~o1-
$35-.51)
ELECTRlCALC NTRACTOR ):? :5//
OR 0 Eledr dnstallalion Verificationfof'mattached(lfRepla~emenll
~/ricaJ ills/alalion ofltewireplocemelll equipmelll snaIl be cfane by licemed CDl
L 10 "72,
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(Electrical Contra~lor Nhme)
I.!J:"'_..._ 111-t:r14~tl~
(City)
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have h":I:" clll\lra
:'It lhe foHowlOl~ dress:
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'rll\! 11alllrc; of th wmk consists of: (Check One or Oc~'.;ribc the
....~Re nncclion or new circuit lor r~1al:ement Ht:~li
Re nnec1;on or new t:~ rCII it iort~lacemet11 Eloct Ie
aler heater.
nnec\ion orthc S<':I'vicr. Entram:.eCablc. Me-tel Box. alterations to 1-e<:e\3ta.cl",
, 1'Id lightin!;t fi)nurc.:; due to ~idins I so L i ( in~It;\\ ation. Note; New Servlcc:
'ntnmce Cables will t~qulre il sepof;ll';. f)f~mi\l,
~ nnection or l'\ew ci rc\li~ for 1h,e repll:lct:mem 0 other 1Jcnnanent\y wired
ppliwlce~ I fixturr.:~_
circuit for \he lJC.lclilio\; or Ale to an illd/vidl(( 'd\.vetli,rg unil (house ortlte
ndividu.al systems \11:\ tl~lllh;x orcOl1dilminluT ), including rtlquired BeNke
'!cctriclll olltlcl~.
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Ttw vnlll(; yf I' i~ work is $
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I hCrl.'hy vcrif t is, work ~i11 heyt:rformed by an emp!"\':~~ c\ lhis comp~ny and further veTif~
Ih~ \,~~()IlI1cc,i It ms\~natlQn will bl~ "kine in compli,u\,< with manufac'urer nnd Electric code
r~q\li t'eml'l1l$.
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