HomeMy WebLinkAbout0144248-HVAC (furnace) (I) CITY OF OSHKOSH No 144248
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1735 ARIZONA ST Owner STEVEN G HOPPE Create Date 12/02/2010
Contractor ANDERSON HVAC LLC Category 500 - Residential- Heating & Ventilating Plan
Fuel U Gas U Oil U Electric ❑ Solar L Solid
System fJ New I [7 Replace 1 n Other f
L Forced Air u Radiant u Steam u A/C u Vent
II Electric U Hot Water 1 1 Suppl. Con. Burner
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent O Not Applicable
Heat Loss ( ) As Approved 0 Existing 0 Not Applicable Value
BTU Rate C) As Per Plan 0 Variable • Other Value
Use /Nature SFR / Replace furnace due to cracked heat exchanger. EIV signed by Zimmer Electric. **debit acct
of Work
Fees: Valuation $3,525.00 Plan Approval $0.00 Permit Fee Paid $64.00
Issued By: A/ Date 12/02/2010
❑ Permit Voided I Parcel Id # 1403830000
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 3454 JACKSON ST STE C OSHKOSH WI 54901 - 8143 Telephone Number 920 -410 -8858
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.
HVAC PERMIT APPLICATION Page 1 of 1
Stephenson, Ann M.
From: HVAC PERMIT APPLICATION [Permit App_HVAC @ci.oshkosh.wi.us]
Sent: Wednesday, December 01, 2010 8:45 AM
To: Inspections, Inspections
Subject: HVAC Permit Application
HVAC PERMIT APPLICATION
Date:12 /1/2010 8:45:14 AM
Permit Fee Account YES
System:
Job Address: 1735 Arizona St
Owner: Steven Hoppe
Contractor: Anderson HVAC LLC
Use Category: Single Family
Fuel: Gas
System: Replace
Type: Forced Air
Is Chimney Being Lined? No
Liner Size:
Manufacturer:
Chimney Type: Direct Vent
Heat Loss: Existing
BTU Rate Other:
Description of all Replace furnace due to a cracked heat exchanger. Line voltage to be
work being done: completed by Zimmer Electric
Value (Including labor 3525.00
and all materials
including light fixtures):
Master Elelctrician: Scott Zimmer, Zimmer Electric
. L am--
12/1/2010
c 01 10 07:30p Zimmer Electric 19206852387 p.l
City of Oshkosh
re_
Air Division of Inspection Services
215 Church Avenue
PO Boa 1130
Oshkosh WI 54903 -1130
Office 920 -236 -5050
N we w.ncr Fax 920-236-5084
Electric Installation Verification
•
•
(Electrical Contractor Name)
i
7 c C• A;v(kOr omRt, w i t 3
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for Ail , e /✓ /1' V4 C. ,
/ � (Name of party contracted to)
at the following address: / 73 / /�1 k i 7-vn J .
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
X Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater 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 will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New 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
The value of this work is $ /. r .
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
r
/ 0 ' " 3 c_0# 2_.),y,,,, 4: A id) an Officer (Print Name of Officer (Date)
( grlature o � pany ( ) ( )
902
Received Time Dec. 1. 2010 6:22PM No. 3909