HomeMy WebLinkAbout0128268-HVAC (space heater & a/c)
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OSHKOSH
ON THE WATER
Job Address 1825 MINNESOTA ST
CITY OF OSHKOSH
No
128268
HVAC PERMIT - APPLICATION AND RECORD
Owner ROBERT J CLARK/RENEE J REINKE
Create Date 12/26/2007
Contractor A-1 HEATING & AlC INC
Fuel ~ Gas UOil
System o New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A . Chimney B
Heat Loss () As Approved . Existing
BTU Rate . As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
o Other
~ AlC U Vent
U Con. Burner
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent () Not Applicable
o Not Applicable Value
() Other Value
Use/Nature DUPLEX (1825) /INSTALLED AlC UNIT, (1825 A) / REPLACE A PLUG IN SPACE HEATER (electrical permit taken out by Bell Electric) *'
of Work check #8958
Fees: Valuation $2,671.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$50.50
Date 12/26/2007
o Permit Voided I
Parcelld # 1405040000
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 Services
PO. Box 1130
Oshkosh, \VI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THF WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· Appl1cation(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I YOU ore a contractor arUci atin in the Permit ee Account S stem and have ade check here
i ( v 0 [.I. . \-V$.!lLJ II i~__f2[Qfs? s se d through 11 0 U r . ace C u ,'1'1 n __'_.. _ _".'~ __~'_~.,_'_"___~
/ g"..? $' /Y); IY7i1/&3o / /l
JOB ADDRESS / g ;{Stf} Ihr"N N[;.SO /71
OWNER 2vl 71-1 C LA RjC
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,
DATE
CONTRACTOR
A.,j Heating & Ale
W8fJ78lJilkH!;',t Ct. q'LD-ll Cl- '6 f{ 3 g
If()r't(mpilii~, 'fir/I 54944
CHECK 0' ALL APPLICABLE
USE CATEGORY
D$ingle Family DDuplex
DMulti-Family
DRental
DCommercial
Dlndustrial
FUEL
~s
DOil
DElectric DSolid
DSolar
SYSTEM
DNew ~place
DOther ':;;~4~ j.)-g7-J-re~
TYPE
DForced Air DRadiant DSteam ONe OVent OElectric OHot Water OSuppl.OCon. Bumer
.3 I(
IS CHIMNEY BEING.LINED DNo ~es - LINER SIZE.. .. & MANUFACTURER
Note: All chimneys shall be sized per the B 1 U's being vented.
jJ-vtrr
~hirnney B
xi sting
Variable
2- ;11~r
CHIMNEY TYPE
HEA T LOSS
BTU RATE
. DChirnney A
o As Approved
~s Per Plan
ODirect Vent
ONot Applicable
DOther Value
DOther
6 S, ULI (}
DESCRlPTION OF ALL WORK BEING DONE f? CPL/.J-G"(;J:l) <5 Pp<J-U
>s7;.:r/Rj- V- .:::j::..rJs'r 1-L.eo A-;'C Lc- AI' t~;- J)ow,.r,JS/F:r," 10
/-I17c 5 Pb'"I!-f/A{'-r IA j/ 6-/2./1- i) eo ~P"v,.. CG
fAUG I~
~. --
V ALUE (Including labor and all materials including light fixtures) $
d.&7/-
/:;~?J.so
ELECTRlCAL CONTRACTOR . ~
OR 0 Electric Installation Verification form attached(lf Replacement)
Electrical installarion of new/replacement equipment shall be done by licensed COlllmCIOI'5.
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