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HomeMy WebLinkAbout0131901-HVAC (furnace) CITY OF OSHKOSH No 131901 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER ~ Job Address 900 W 6TH AVE i Owner ROBERT W BAHR Create Date 07/29/2008 Contractor BLACK-HARK HEATING Category 500 -Residential-Heating & Ventilating Plan Fuel / Gas Oil ~ Electric Solar i Solid System ~ New ~ ~I Replace ~ ~ Other ~ / Forced Air Radiant ~ i Steam A/C Vent Electric Hot Water ~ Suppl. Con. Burner i Chimney Type Chimney A Chimney B Direct Vent Not Applicable _ _ Heat Loss __ As Approved Existing I _ _- I ~ Not Applicable ____ ~ Value -- _ ---_ BTU Rate As Per Plan Variable i I Other ~ -- - --~ Value UselNature FR /REPLACE EXISTING FURNACE & LINE THE CHIMNEY, EIV SIGNED BY KRUEGER ELECTRIC ""check #17813 of Work I Fees: Valuation $5,000.00 Plan A royal PP I $0.00 Permit Fee Paid $85.00 Issued By: ~ I ~ Date 07/29/2008 Permit!Voided ~ Parcel Id # 0604260000 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 Address PO BOX 7075 APPLETON WI 54912 -7075 Telephone Number 920-757-9990 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. Ctq of Oshkosh ~tvtsinn of ~nspecKion Scrnees P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920)236-5050 Fax (920)236-5084 ~~ F~ ~.` ~ ~:~° . ~~ i s ~! ` ^_, -~ JIUL 2 9 2008 _ ,_.. i ~`~.,~. ;_,a~. , ~~~=.P!L1~iVI~~F";~-PPL` (CATION -, All information after bold categones must be provtded. ~~' Incomplete applications will not be processed. • Application(s) and fee(s) can be brought to City all, Room 205 or mailed to Inspection Services, PO Sox 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fnee, which ever is greater. OR i _ . ~ r ~ -~- ~----- - ~ DATE 1 I %~1~ C~~S JOB ADDRESS CHECK B! ALL APPLICABLE U E CATEGORY ~1~Single Family Duplex [Multi-F FUEL Gas ^Electric ^Solid ^Oil ^Solar E orced Air t]Radiant ^Steam ^A/C IS CHIlVIlVEY BEING LINED t]No Yes - L Note: All chimneys shall be sized per the BTU's being CHIMNEY TYPE Chimney A ^Cl HEAT LOSS As Approved ~E~ BTU RATE DAs Per Plan ~ f B~Vs DESCRIPTION OF ALL WORK BEING DO ^ ~ ~ ~, ~ ~1 I rl ~~ 1 ~'#,"1 ~ I`~~ ily ^Rental ^Commercial SYSTEM L]New ^Other ^Industrial ,Replace ent ^Electric Hot Water t]Suppl. t]Con. Burner .R S IZE ~~ ~ 1 & MAN[JFACTURER le B ODirect Vent t]Not Applicable ^Other Value _ VALUE (Including labor and all materials including light features) $ ls%~~' ELECTRICAL CONTRACTOR 0 For applicable projects, an Electric stallation Verification form, signed by the Electrical Contractor, must be attached. If not attached or not applicable, a separate Electrical Permit is required. ^Other 9/oz clrv arcu,.o~, CYtisian of INP+c tics Sm1xn. 2t9 c.T,wh nK„~ P'O Bow 77]U t?~hkruh W~ SIDCl-111C Uhl- H UsIMa yV-3T~-S~~50 a+~Tnc ~~~ n Puy 41ai~n-~ofl~ ~iectrlc Trastall~ (ctn'cal Contractor ~ ~p 1 VrC! r~cYfln..bro~ ~~. ~~. (Addre^s) {~ have been cbntxacted to pcrfonn ~:lcct7ia in~~tallati< at the following addreys: ttion ~Veri~c~tiian ~. ~ I' ~l7 ~. L~~-~ ~...) i .sue f ~ o ity) (State) (Zip Code) t work for ~~~(~(~p,~, ~ . (Narnc aF ncuty cor~tta~ctod t (Addxess where work will be performed) i The nature o.f the work conEist.S ctF: (Check One r Describ© the Nature of Work} Reconnection or new cirouit for ncplacetx7cnt He~atin.g Plant as~d~vr ~1C.' l':ondenssr, __ _ Reconnection or new circ7aik fail rcplac~rncrtt Electric Watt ~Isater. _ _ Reca>ru~rctiQn of the Service Entrance Cable, Meter Box, alterations tQ ree:eptacles and li~,hting fixtures due to sid~ri~! soffit installation, Npte; flaw ~Ct`Yice k:ntrancc Cahlcs wilt require a separate pcrntit. _._ __ l~ecannection or new circuit fos~ otharpc~rmanr<rttly.wired appliances ! ftxturas. Other I ~ ~111e value ~fthiS WUriC 15 ~ i T hereby vCrify this wa~rk will be performed b~ rcconntction! installation w711 be done in con mquirernents. ___.~~.~J ~ ~_ (5i~nturc o Com yOfftcar) ar7 aruplayee 4f this company aqd fusilier verify the aliancc with manufacturer and Ele~tx-ic code (T"rint Name ofi Qf6 7 U. ~. ( ) X25 ?Ofl~ f; fl ?r!Hd ~ ~ :SFFC`~%9G5 ~3~I:f3t 50~~~hT/`~~