HomeMy WebLinkAbout0127950-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1803 OREGON ST
CITY OF OSHKOSH
No
127950
HV AC PERMIT - APPLICATION AND RECORD
Owner CAROL A WILLIAMS
Create Date 11/21/2007
BTU Rate
New
IT~~~~d -A~_J
ITE~~!~~--=-~
ITchimne~.-
D As Approved
~Per Plan
Category59il-=-'3~sld~n~aJ:-Hel!t!ngllt\j~nJlla.tin9 ... . Plan
_ O-E~crd~--~~ D~-'S()Tlilr.-~:-:-==j DsQ1ja--
o Beplace j D_Other
D.~~~~anf:~:= C:~~aji1:_=~_:: D--~~:-:::: . ___. i D _Y~nT--::_:-!
O~~~~-.] O.supeL-.--.=-.-.J ITf.Cl~-'~ui~~~-J
-~CIQ:him ney B -~-:=-.-.:mE~~t.'{~r1t=---':===-'.-=~otA2PJIcable-'-':==J
Dg~-':.=-=-' . ._
Contractor
A-1 HEATING & NC INC
Fuel
0:-G~~-'-'-'==-'--']
System
Chimney Type
Heat Loss
.~~~________O Not AppJi~able=__.J
U Variable-.-----~--. Other --_.~--J
-~._.~~---- -~-~---
Value
Value
_______.__~Q9.9
Use/Nature ~DPLEX(UNIT 1803-A) I REPLACE FURNACE, INSTALL 3" CHIMNEY L1NER~SIGNED BYBELL~LE[CTRic(job #4078 -.a,eck--!
of Work r8895) !
I i
I
. ______.____,___.__._____.____,__,_~_,._.._..J
Fees: Valuation
$1,687.00
Plan Approval ____ $0.00
Permit Fee Paid ________ $35.50
Date 11/27/2007
Issued By:
0. .F:~~I11~~Y_oid~_~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
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 Inspection Serv ces
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (92C) 236-5084
~
OJHKOfH
ON HH; W^TEI1
HVAC PERMIT APPLIC TI.ON
All information after bold categories mus be provided.
Incomplete applications will not be p ocessed.
.
Application(s) and
Oshkosh WI 54903
nannal pennit fee,
OR
e(s) can be brought to City Hall, Room 205 .or iled to Inspection Services, PO Box 1128,
1128. Commencing work without pennit(s) will result in fees being d.oubled or $100.00 plus the
hich ever is greater.
I
ee ACColmt S stem and have ade
DATE
OWNER
CONTRACTOR
1...0- <<I. q - ~ g :3 g
Hommw1k, WI 54944
USE CATEGORY
OSingle Family DMulti-Family DRental OCommercial OIndustrial
FUEL ~ DElectric DSolid SYSTEM DNew ~~lace
DOil o Solar OOther
TYJE
~orced Air DRadia t OSteam DAle OVent OElectric DHotWater OSuppl.OCon. Burner
ISCIllMNEYBEIN LINEDDNo~s -LINERSIZE JI\ &MANUFACTURER ~ +-[€<t.....
Note: AU chimneys shal be sized per the BTU's being vented.
CIDMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
~As ApRfoved
l;p.g Per Plan
OChimney B
[!'Existing
OVariable
ODirect ent ~Other
DNot A plicable
ClOther alue. 72. b CJ "
pvc
'B-ru
,
DESCRIPTION OF ALL WORK BEING DONE Lf na:...c e. r~ e.
c;..,-r.>.5 ':J.o'l GA.! ,eA-D 72- C/ -:2 It
V ALUE (Including l bar and all materials including light fixtures) $
I~y-i-
~'3~' )V
ELECTRICAL CO TRACTOR. tt~'11
OR 0 EIed1i Installation Verification form attached(lf Replacemcnl)
Electrical illslnlla iOlf o{lIew/replacemenl equipment shall be dORt!. by licensed canlr
4D7g'.
E'd
SOSSSl.l.02S1 _LIOI-.IO:J ~II:I 01-.11:1 81-.1LLI:I3H 1'~-wd'E:2 :21 l.()02'''12 1\01-.1
11/1Q/'2001 TUB 11.1 Hi 1" 9'20 133 211'3 ,;,r:'sRS PLUMB!NG
h~lv\. bl:cn cllJ1\rll led \0 perform c' ':'j.: insluUatioll y,'.
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illlhe f()Hmo'i'flg ddre~s: _ L J T"'(. . ~ _~ t../.
(' ,dtircss where... ;. \l
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.tlle narllrC oflh wtlrk consisls C'
nnectlon or 13C::\-\
nnection Of t'le\'
a.er he Oltcr.
R nn<<:el1on or tne .
1\<.J \ighting {'ixt,;
'r\trance Cltbles . .
R (Inflection or n~\'.
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work is $, ,___.
\ huchy veri V \ is work will he "
lh~ r~(:ul\l1l...c ~ 01 / in~\a\ lation wi,
1~l1tllrCmt.lI\ ~
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.t!.::~.___-1!J~n4 .
(City)
: .:ck One or I.J ( .
,:.: lit forrep\:lcerl
. :, ,it for replace.n
.( ;e ErllrtU'lce ell.
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; ; , ::'111 lre a sepll r;\
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. ;.\ () r Ale to <10
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" 'llc.(! by an em!
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(State) . (Zip Code)
f!!q. "'f.f'J (f I!i .k-.
ame ofpm1Y conttt\c\ed to)
- ..30.33. "-
-OS If. Wr
c ?crronned)
P \ant and/or NC Condenser.
~t Ie \\r~tcr Heater or power ye"tf:d
ct r Box I alteti\tion5 10 recepta.;llls
...;'l tatim1. Note: New Servi~<:
\
;) f otl)er llcnnancntly wifed
I : f ch...'elliltg unit (house or the
; I n) ,i l1cluding requiTe~ service
:' this company andfli.lrthcHtTHy
.; manuiacturer nnd Elec.tr\c cDde
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