HomeMy WebLinkAbout0130165-HVAC (furnace) CITY OF OSHKOSH No 130165
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 842 MONROE ST Owner WILLIAM R HUMMEL Create Date 05/27/2008
Contractor A-1 HEATING & A/C INC Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar Solid
System ^ New ~ ^/ Replace ~ ^ Other
/ Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value 60,000
UselNature
of Work
NT, EIV SIGNED BY BELL ELECTRIC
Fees: Valuation ^~'~("~~ $1,687.00 Plan Approval $0.00 Permit Fee Paid $35.50
Issued By: ~~/ I 1 i~ Date 05/27/2008
^ Permit Voided
AgenUOwner
In the pertormance 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
Address W8078 HILLCREST CT
Parcel Id # 1107440000
Date
HORTONVILLE WI 54944 -9301 Telephone Number 920-779-8838
To schedule inspections please call the Inspection Request line at 238-5128 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 ~; ~ ~ ~~,.,- ~ .r ~~u8
P.O. Box 1130
Oshkosh, WI 54903-1130 UcP~K i~i~lEiV7 OF `
Phone (920) 236-5050 ~ ~ ~~ al.~J COMMUNITY DEVELOPMENT
Fax (920) 236-5084 •-------'-'-"'~f~FSPECTION SERVICES DI~~~(O~u
ON THIE\\NATER I I
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~ Application(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 permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account Svstem and have adequate funds check here
you want thrs nrnceccod lhrnuoh ,,. .... .. .. ......... n
JOB ADDRE//S--S,, 7s "T ~ ,` JJ I~ j}t'j j''d{,
OWNER W, ~~~~~ Nt ~`~t ~ ~Y(~ L.
CONTRACTOR ~°r gde~tirag & A/C
~l'"~+v°tr~;ni~'e, ICI S~'d
CHECK B ALL APPLICABLE
USE CATEGORY ..
~ingle Family ^Duplex ^Multi-Family
FUEL Gas ^Electric ^Solid
^Oil ^Solar
DATE
~~a-1't q_ ~'~138
^Rental ^Commercial
SYSTEM ^New
^Other
^ Industri al
~teplace
T,I'PE
F rced Air ORadiant ^Steam ^A/C OVent ^Electric ^Hot Water ^Suppl.^Con. Burner
IS CHIMNEY BEING LINED ^No yes -LINER SIZE 3 ct & MANUFACTURER ~" ~~i:"~
Note: All chimneys shall be sized per the B 's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B ^Direct Vent ;18'bther {~ lr G
HEAT LOSS ~As Approved ^Existing ^Not Applicable
BTU RATE ~,As Per Plan ^Variable -' ^Other Value _ ~o, O a
DESCRIPTION OF ALL WORK BEING DONE t~arr, ~_ /~.t.D (~,~
VALUE (Including labor and all materials including light fixtures) $ ~~ ~' ~] ~--
~~S S7~
ELECTRICAL CONTRACTOR ,BULL OR ^ Electric Installation Verification form attached(IfReplacemenl)
Elecrricnl insrallarion ojnew/replacement equipment shnll be clone by licensed conrrnctors.
~ /nom
/27/2008 TUE 12:20
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FAX 920 733 2713 WATTERS PLUMBING
1 ..~~T
a ~i3
city ~row~,n
Davis no[Iaspeotion5er~ices
213~wch Avcwe
PO x 1130
Oshk~h WI 5903-1 S30
Offie 920-216-5050
Fax 20.236.5084
Electric Installation Vet~ifcation
'~ (EIectrical Contractor Name)
V - !~ , c) ~'C ~ ~ ~ /LL ~ ~/~9d' 614 ~ tai/! _ • z~~s_ Z
(Address (City) ~ ~ (State] ~ (Zip Code)
have been contrac ed to perform electric installation work for A-1$eariing ~ A!C
(1V~ame~,~~~~,c~r~gyritr$r to)
at the following a caress: ~_ r ~ ~ /~ m m~„? / g' ~,~, /l~.o~v 2,~ ~ S i d S ~,
{Address where work will bd performed)
The natur/e of the ork consists of (Check One or Describe the N~iure of Work)
Rico ection or new cixcuit for replacement eatin ;Plan~d/or A/C Condenser.
__ Recd ection or nevv circuit for replacement ElectricfWater Heater or power vented
w ter heater.
Rico ection of the Service Entrance Caf~le, IVieter lox, alterations to receptacles
d lighting fixtures due to siding / soffit installation. Note: New Service
E trance fables wiii require a separate permit.
Rrrco ~ ection or new circuit for the replacement of ofher permanently wired
i a pliances /fixtures, I~I
New ircuit for the addition of A/C to an individual c~lvelling unit (house or the
in ividual systems in a duplex or condominium), including required service
el trical outlets.
Othe
I
The value of this
I hereby verify thi
the reconnectiop. /
requirements.
. ._..... .. i
irk is $ !
work will be.per:formed by an employee ofthi~ company and further verify
astallation will be done in compliance with manufacturer and EIectric code
Officer)
~^
~ G _° ~ i, ~ /t37tU~
~" 7
(Print Name of O facer) (Date)
sro2
r •d cna~a~ i n~~r i rrtl.ln-1 ~ltu rt-ita cur i u~l.t rla i.iuaa:~ ann~ i ~ ~el.l