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Home My WebLink About0154305 - HVAC (replace furnace) CITY OF OSHKOSH No 154305 10 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 128 W 15TH AVE Owner GAYLE M DEMLER Create Date 01/31/2013 Contractor A-1 HEATING&A/C INC Category 500-Residential-Heating&Ventilating Plan Inspector Nicole Krahn - Fuel U Gas I LI Oil ❑ Electric ❑ Solar ❑ Solid j System ❑ New 0 Replace ❑ Other ✓l Forced Air Radiant Steam - A/C Vent I0Iectric ❑ Hot Water j ❑ Suppl. ❑ Con. Burner Chimney Type himneyA 0 Chimney B O Direct Vent • Not Applicable Heat Loss 0 As Approved 0 Existing • Not Applicable I Value BTU Rate As Per Plan O Variable • Other Value 60,000 Use/Nature SFR/REPLACE FURNACE, ELECTRICIAN IS BELL ELECTRIC **check#11830 of Work Fees: Valuation $1,500.00 1$1,500.00 Plan Approval $0.00 Permit Fee Paid $46.00 Issued By: �J / 1 ►LV Date 01/31/2013 ❑ Permit Voided Parcel Id#0304460000 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 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 Inspection 1114 Division of Inspection Services P.O.Box 1130 Oshkosh,WI 54903-1130 Phone(920)236-5050 Fax 920 236-5084 �: # a.') I �� HVAC PERMIT APPLICATION JAN 3 0 ao13 All information after bold categories must be provided. Incomplete applications will not be processed. DLFAk!MINT OF COMMUNITY DEVELOPMENT • Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Sermismittbac■SEIM ES DIVISION Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which ever is greater. OR If you are a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your account El **Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical / Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted / with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. 8 DATE JOB ADDRESS /62-o w' i OWNER e . I e ^ CONTRACTOR A-1 Heating&A/C P.O.Box 311 CHECK Et ALL APPLICABLE Hortonville, Wl54944 USE CATEGORY &�'atngle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial FUEL qua's ❑Electric ❑Solid SYSTEM ❑New L4�eplace ❑Oil 0 Solar DOther TYPE orced Air DRadiant ❑Steeam DA/C ❑Vent DElectric ❑Hot Water ❑Suppl. ❑Con. Burner IS CHIMNEY BEING LINED 911 0Yes -LINER SIZE &MANUFACTURER Note:All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent Deter /2 jTC HEAT LOSS DAs Approved ❑Existing ❑Nqt[applicable BTU RATE DAs Per Plan ❑Variable ❑t Gi a 'Value 60, con DESCRIPTION/SCOPE OF ALL WORK BEING DONE r-net c e K VALUE(Including labor and materials)$ ACC)0 — ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) L i,1 07/07 01/29/2013 TUE 9:01 FAX 920 733 2713 Watters Plumbing 6L ON WdSI 'Z1 GL�Z I q �awHlnpaniao;� 50D a 3� -5-0e1-#VVa ` Y coy 0(0.1akukir Diwrao of IaipcclwnScnicel 21S Cinnei A ven ae P4As 1g7s 6,/ /u ` V .3030 !+e 5.2o.2)64gi44 . 0/4,s /10.,44L7'-)11?,\ Electric installation Veep cation .19 rl • (Electrical Contractor Name) 1/ 1 filvng3k4 57,s1. (Address) (City) (State) (Zip Code) have been contracted to perform electric installation work for 4--2/ He i' .4/c, , (Name of party contracted to) at the following address: r'g - /S-441 fie- .._ (Address where work will be performed) `e LaA.- The e of the work consists of (Check One or Describe the Nature of Work) .....t/Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. Reconnection or new circuit for replacement Electric Water Neater or power vented water heater. Reconnection or the Service Entrance Cable,Meer Box,alterations to receptacles and lighting fixatres 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 • 'Mt value of this work is$ 1 hereby verify this work will be performed by an employee of this company and further verify the reconnection/installation will he done in compliance with manufacture .and Electric code r44{uircrncnts- /1rio■ „ . , Vet/3 (ti'ynaturt of Company Officer) (Print Name of Officer) (Date) inn 90696GLSZ6I 68:19Z 6IOZ/BZ/I8 �JNI I0/I8 B9Vd Ld�H i V T0/T0 39dd 9NIlt13H T t1 50696LL0Z6I ZZ:ZT ETOZ/I0/Z0