HomeMy WebLinkAbout0158852-HVAC (furance) � CITY OF OSHKOSH No 158852
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2116 N MAIN ST Owner PETER/ALOUNNY P THAO Create Date 11/20/2013
Contractor ANDERSON HVAC LLC _ Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas _=i, Oil _� Electric � Sola� Solid i
System ❑ New � � Replace � Other i
✓ Forced Air Radiant �Steam A/C Vent
Electric � Hot Water Suppl� Con. Burner
Chimney Type ChimneyA 0 Chimney B � Direct Vent 0 NotApplicable
Heat Loss As Approved � Existing _ � Not Applicable � Value
�s Per Plan � Variable � Other � Value
BTU Rate __
Use/Nature SFR/REPLACE FURANCE,WIRING BEING DONE BY ZIMMER ELECTRIC "'debit acct -�
of Work �
i '
Fees: Valuation $3,500.00 Plan Approval $0.00 PermitFee Paid $78.00
Issued By: Date 11/20/2013
❑ Permit Voided I Parcel Id#1515650000
In the performance of this work, 1 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
AgenUOwner .
Address 2070 ABRAHAM LANE OSHKOSH WI 54904 -7733 Telephone Number 920-230-6963
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.
Wentz, Sandra
From: HVAC PERMIT APPLICATION [Permit_App_HVAC@ci.oshkosh.wi.us]
Sent: Wednesday, November 20, 2013 10:27 AM
To: Inspections, Inspections
Subject: HVAC Permit Application
HVAC PERMIT APPLICATION
Date:l l/20/2013 10:26:59 AM
Permit Fee Account System: YES
Job Address: 2116 N Main St
Owner: Peter Thao
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 Remove and replace furnace with a 95% 2 stage Bryant furnace and
work being done: thermostat
Value (Including labor and 3500.00
all materials including light
fixtures):
Master Elelctrician: Zimmer Electric
i
11/20/2013 16:01 9202302665 ANDERSON HVAC LLC PAGE 01/01
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Electric Installa#on Verificat�ion :
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• (E�ectrical Contractor Name)
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(Address) (G�t3') (Statc) (Zip Code)
have bcen contracted to pe�'orm.electric installation work for �h�f'e h �''� `' ��V �"
(Name of party contracted to)
. ��i�N-�G��,� .� ��r�xU��. ��
at xhe�ollowing address.
._• (Address where work a►ill be performed) .
The nature o e work consists of- (Check Onc or Aescribe tbe Nat�ue of Work)
Iteconnection or n�w circuit for replaceme�t Heating Plant and✓or AJC Ca.admscr. •
�econncctiou or new ci�rcuit�or replac�memt Electric Water�Ieater or power veated
water heater.
Iteconnection of the Service Entranee Cable,Meter Box,aiterations to rec�eptacles
and lighting fiuctures due to sidiqg/soffit instaUation. Note: New Servic�
Entrance Cable�will zequire a separate permit
Reconnection or new circuit �or the replaceu�ent of othe�permanendy witnd
aPPli�ces/fixtures.
New cin�uit for the addiuoa of A/C to an individ.ual dtivelling unit(hvuse or the .
in.dividual syste�ns in a duplex oz�condominium),including r�e�uired service
eleetrical outlets.
Other
�he value of this work is S ��
1 hereby verify this work wiU be pe�formed by an ernployee of this company and�her verifY
� the recox�nection/installation will be done in compliauce with ma�n�h���l��c cod�
cequirem cs.
Sc�fj� �. 2� _J� l l � 3
(Signature o pany Offi- ) (Print Name o�Officer) (Date)