HomeMy WebLinkAbout0131987-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address 1029 OHIO ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner BILLIE JO CARROLL
No 131987
Create Date 08/04/2008
Contractor A-1 HEATING & A/C INC Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil ' Electric Solar Solid ~
System ^ New ~ 0' 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 90,000
UselNature FR /REPLACE FURNACE , EIV SIGNED BY BELL ELECTRIC "'check #9451 l
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of Work j
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Fees: Valuation $1,970.00 Plan Approval j $0.00
~ Permit Fee Paid $40.00
Issued By: ~~~~~~ I! Date 08/04/2008
^ Permit Voided ~ Parcel Id # 1303550000
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 performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1 1 30
Phone (920)236-5050
Fax (920)236-5084
O~HKO.lH
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
.Incomplete applications will not be processed.
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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,
DATE
JOB ADDRESS I~ ~~ ~~,o' ~ S~
CONTRACTOR A~ I ,~eerti>gg & A/C
v~ronti~itfe, t~13
CHECK B ALL APPLICABLE
USE CATEGORY ', .
'Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
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FUEL Gas OElectric ^Solid SYSTEM ^New
OOiI ^Solar ~teplace
^Other
T PE j .
'Forced Air ^Radiant OSteam ^A/C ^Vent OElectric ^Hot Water ^Su 1.^Con
i pp .Burner
IS CHIMNEY BEING LINED ~No OYes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized pert e BTU's being 'vented.
CHIMNEY TYPE ^Chimney A ^Chimney B ^Direct Vent Other
HEAT LOSS DAs Approved existing ^Not Applicable
BTU RATE ^As Per Plan ^Variable Other Valuer! ~ ~ 0 0
DESCRIPTION OF ALL WORK BEING
VALUE (Including labor and all materials including light fixtures) $ / 9 70 -
ELECTRICAL CONTRACTOR ( OR ^ Electric Installation Verification form attached(1f Replacement)
Electrical installation ojnew/replacement equipment shall be done by licenser< conrrncrors.
/01/2008 FRI 7:44 FAX 920 733 2713 PiATTERS PLUMBING
City of Oshl:osl:
Division of inspection Services
1I5 Ch{ceh Avenue
PO IIox 1130
~--{ Oshkosh Wt 54963-1130
Office 920-136.5050
ors N[.YN{R Fax 920-23G•i0S4
Electric Installation Verif cation
1 (We} /.g L~ L ~,LL ~_ /fit L
X001/001
{Electrical Contractor Name)
~~y won // ~ ~' ~re~/~~~ ~ ~;~/~sZ,
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(Address) I, (City} (State] (Zip Code)
~-1 Heating & A/C
have been contracted to perform electric installs#ion work for ,
/3~•/% std,- ~~.~r - ~d Z ,~r8~,=sue=„~y~~~c c-~
., fo S c /~.;z; ct (Name~'~l~o~c~ry~ to)
at the following address: _ /G-~~% ~~i v Sf
(Address where work will be performed)
't'he nature of the work consists of: (Check One or Describe the Nature of Work}
1/ Reconnection or new circuit for replacement eatin Plant d/or A/C Condenser.
__ Reconnection or new circuit for replacement $lectiic Water I-Ieater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note; New Service
Entrance Cables tivill require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances /fixtures.
I~Tew circuit for the addition of A>C to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
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The value of this work is S '~
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I hereby verify this work will be performed by an employee of this company and further verify
the reconnection /installation wit] be done in compliance with manufacturer and Electric code
requirements.
S atu e ~ ~ ~~ ~ r ~
( gn r of Company O.Fftcer} (Print Name of. Officer) (Date)
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