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Home My WebLink About0152974 - HVAC (furnace) Ci) CITY OF OSHKOSH No 152974 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 3739 GLENHURST LN Owner SCOTT DAVIS/BRENDA KISELEWSKI Create Date 10/16/2012 Contractor A-1 HEATING&A/C INC Category 500-Residential-Heating&Ventilating Plan Inspector John Zarate — _--. ❑ Electric 7 ❑Solar Solid 1 Fuel Gas J Oil �---- Re ❑ Other System ❑ New 0 lace P_- LP'orcedAir i DaRadiant — Steam ❑fA/C ❑ Vent D ' Burner-I u Electric J H S jot Water � PP I. 1D—Con. — Not Applicable � Chimney Type 0 ChimneyA O Chimney B O Direct Vent • Heat Loss • As Approved O Existing ❑ Not Applicable 1 Value BTU Rate • As Per Plan 0 Variable 0 Other Value Use/Nature MOBILE HOME/REPLACE FURANCE, EIV SIGNED BY BELL ELECTIRC **check#11715 of Work Fees: Valuation $2,010.00 Plan Approval $0.00 Permit Fee Paid 41. (37Y-0 Date 10/16/2012 Issued By: ❑ Permit Voided I Parcel Id# 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. Date Signature Agent/Owner Address W8078 HILLCREST CT HORTONVILLE WI 54944 -9301 Telephone Number 920-779-8838 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 54903-1130 Phone(920)236-5050 (� Fax (920)236-5084 ,i' OZ 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$100.00 plus the normal permit fee,which ever is greater. OR If you are a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your account R **Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical / Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted / with the permit application. Applications submitted without an EIV when such is required,will not be processed for Permit Issuance and will be returned for completion. 9.26 - 3 7 - // DATE /G /0 /2— JOB ADDRESS 3739 Cie 1't e c.�s t C" ,) OWNER c` f CONTRACTOR A-1 Heating&AIC P.O. Box 311 CHECK H ALL APPLICABLE Hortonville, WI 54944 USE CATEGORY QSiingle Family ❑Duplex DMulti-Family ❑Rental DConunercial [Industrial FUEL CCas ❑Electric OSolid SYSTEM ❑New replace ❑Oil ❑Solar ❑Other TY orced Air ❑Radiant ❑Steamer� ❑A/C :Went ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner IS CHIMNEY BEING LINED CTNo❑Yes -LINER SIZE &MANUFACTURER Note:All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE OChimney A ❑Chimney B ❑Direct Vent lather PVC- HEAT LOSS Cia'As Approved ❑Existing ❑Not Applicable BTU RATE Cis Per Plan ❑Variable ❑( ier'Value DESCRIPTION/SCOPE OF ALL WORK BEG DONE 12.kp L&kj2 mob, vt-a—c...s c)a z o 3T 4 . VALUE(Including labor and materials)$ C t 0 ID . OC ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) 07/07 �u t,� 10/12/2012 FRI 6: 40 FAX 920 733 2713 Watters Plumbing 0001/001 r?7'r• G-f^� rrly orosnac, , 0ivLpon of hwyectum Soviet' 11 S Church M eaur PO.Bon 3130 • Oatt1KhWt W01•tin, = ortia 029•236.5050 bax 420.234.5U(4 Electric installation Verification I (We)_ ... _. W- (Electrical Contractor,�)Name) • (Address) •(City) (State) (Zip Code) �—! C' �/H � v!� s havc bt:en contracted to perform electric'installation work for_._e party to) i. gb� ��+5 CI9DVQC�}yo) ao1 i�r-�- t at the fallowing address: , � � (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) 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 1 soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replacement of other permanently wised _ 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$ i hereby verify this work will be performed by an employee of this company and father verify the reconnection/installation will be done in compliance with manufaeturey.and electric code requirements. .'itr:aturt. of Company Officer) r (Prim Name of tear) (Date)tx TO/T0 3Jttd 1 ONI1tl3H T a 90696LL0361 6S:91 Ziazitt10L