HomeMy WebLinkAbout0131522-HVAC (furnace)', CITY OF OSHKOSH No 131522
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 619 GRAND ST ~' Owner GREGORY V STEPPES Create Date 07/14/2008
Contractor A-1 HEATING & A/C INC _ _ ' Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Q 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
Use/Nature ~SFR /REPLACE GAS FURNACE DUE TO FLOOD DAMAGE, EIV SIGNED BY BELL ELELCTRIC '"check #9413
of Work
Fees: Valuation~~ $1,800.00 Plan Approval r . $0.00 Permit Fee Paid $37.00
Issued By: -~ ,) 1 t-) ~ Date 07/14/2008
~I ~ Permit Voided
Parcel Id # 0403220000
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 -9301 Telephone Number 920-779-8838
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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 pertormed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Ph
)
_ ,
JUL 142008
one (920) 236-5050
( ~ O~
Fax 920) 236-5084 -~ ~~'Li..,r ~ ~ARTP~1cNT o .
- . `~ 'CITY ~~.t/ELr. . ,.
HVAC PERMIT APPLICATION`
All information after bold categories must be provided.
Incomplete applications will not be processed.
JOB ADDRESS ~I ~'/
OWNER ~~Kvsh _ /,,~}r, ',
O HK~1H
ON THE \NATER
DATE
CONTRACTOR ~! A4R1 ~~~+~~' ~ A/C (,
`I~D°-I~ q_ ~f138
!, rar~r~~ie, leYf 3~3~4
CHECK El ALL APPLICABLE
E CATEGORY ..
Single Family ^Duplex ^Multi-Family
FUEL Gas ^Electric ^Solid
^Oil ^Solar ''
^Rental ^Commercial
SYSTEM ^New
^ Other
^Industrial
C~teplace
TYPE '~
~1Forced Air ^Radiant OSteam ^A/C ^Vent ^Electric ^Hot Water ^Suppl.^Con. Burner
IS CHIMNEY BEING LINED ~No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B ^Direct Vent 1,1~Other
HEAT LOSS DAs Approved Existing ^Not Applicable
BTU RATE ^:4s Per Plan ',, ^Variable ^Other Value
DESCRIPTION OF ALL WORK BEING DONE ~i o w ado /~~. ~,,Q ~ 060
~r a g ado
~ ~2N.~-ems. ,~.~- ~.c ~~ ~~nr~
VALUE (Including labor and all materials, including light fixtures) $ ~ ~~ Q -
ELECTRICAL CONTRACTOR ~~~ OR Electric Installation Verification form attached(1f Replacement)
~L-}I-~ ~ ElecrrYcnJ instntlnrion ojnew/rep/ncement equipment shnll be done by licensed contrnclors.
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~~~ QV ~~
~/n~
• 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 $100.00 plus the
normal permit fee, which ever is greater.
/14/2008 MON 13:45 FAX 920 733 2713 wATTERS PLUMBING X001/001
' ...
CirylofOshkosh ~I
Div~on of lm~xlion Scn•icc5
213 hurcb Aven~K
PO lox 1130
O gosh Wi 54903.1190
Offi c 920-236•SOSp
o. r ww Fax 20.236.5084 ~I
• I
Electric Installation Ver~ftcation
l
1(We) ,B ~~i
o~
(Electrical Contractor N e)
/1 ~ ~~ nl'~s'~ r lr
- (Ci ry) ~~
have been contr
~-cer
at the ollowing
The nature of the
L~ Rec~
:~ Recc
1\Tew
Other
to perform electric installation work
(Address where work
consists vf: {Check One or Describe
necUOn or new'circuit for replacement
nection or new .circuit for replacement Eh
.ter heater.
section of the Service Entrance Cable, ME
alighting fixtures due to siding / soffit ins
trance Cables will require a separate perm
~eetion or new circuit for the replacement
llianees /fixtures.
'rcuit for the addition of A/C to an individ
ividual systems in a duplex or condominii
~trical outlets. ''
;~ ~i-sz
(t~e) (Zzp Code)
A-I Heating & A/C
(N~e1'~i~iblfi~,oR'4~' to)
be performed)
Nature of Work)
ant~td/or A/C Condenser,
aier Heater or power ven#ed
Box, alterations to receptac3es
~.tion. Note: New Service
other permanently wired
I dwelling unit (house or the
~), including required service
----
The value of this w r ~~
kls$
I hereby verify this ~ork will be erforrned
the reconnection 1 installation wi 1 be done in c mplianc~ with. ~anufa pt~er and Electric cod y
requirements. I i e
~- ~ ,----
(Signature ofCom I ~ ~~- ----=G,L!~'r__`_~r---
anyOfficer) i (Print Name of O cer) (Date)
i
5/02
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