HomeMy WebLinkAbout2003-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 724 PROSPECT AVE
Contractor AMERICAN HEATING & A C CO
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner MUB INVESTMENTS LLC
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type le Chimney A ~ Chimney B ~ Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved e Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
104844
10/20/2003
Other
Vent J
75m btu
Use/Nature SFR/Replace 75m btu furnace. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$2,400.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$41.00
Date 10/20/2003
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 1129 MICHIGAN AVE OSHKOSH WI 54902 -6437 Telephone Number
(920) 235-8090
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.
~ity o f Oshkosh
Division of Inspection Services
P.O. Box I 130
Oshkosh, WI 54903-! 130
Phone (920) 236-5050
Fax (920) 236-5084
.... O./HKO,/H
HVAC PER IT APPLICATION
Ail info~ation after bold c~egories most be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City l lall, Room 205 {~r mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withot~t permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If voit are a contrac~articjp~ati_~£j~i th_e__.P_e~t_jLfe~e__A_cco.t_fZ~t_~'3, stem at~d have adequate funds, check here
iff_~,olt ~£~_~_!t_.t tl~roce_s_._Le_d_~l!~'f~.tLg, h 3.'Q~tl~ accau~It i.[~]
CtlECK [] ALL APPI,I(?ABLE
USE CATEGORY
~ingle Family UlDuplex [3Multi-Family
UlRental
[2]Commercial
r']Industrial
FUEl, ~,f:~s UlElectric DS{*li(t SYSTEM l-lNexv J:l~-eplace
F1Oil I-ISolar [3Other
TYPE
~.orced E]Steam aA/C E]Ven! F1Elcctric IZlllot Water Burner
Air
[3Radiant
F1Suppl.[3Con.
IS CIIIMNEY BEING I,INED FINo~Y..es - LINER SIZE
Note: All ch{-mneys shall be sized per the EITU \q being '~,ented.
CItlMNEY TYPE
HEATLOSS
BTURATE
~_~imney A
[3As Approved
[3As Per Plan
DESCRIPTION OF AL1, WORK BEING DONE
~"~ ,.,~:~.~ ,,~_t,,~-,~ _
~'~ ~ &MANUFACTURER
[3Chimney B [3Direct Vent I-IOther
J~F,:~i sting tZlNot Applicable
VAI,UE (lncludln~: labor and all materials i,,eln,|in~: liaht fixt,,resl $~__ rT/O ~
EI,ECTRICAL CONTRACTOR
O._~a ,~.~llleetrie In~;tall.t, ion Verification form attached(Ir
Elect'cai i~tallation of ne~t/replacement equipment shall be done ~, licensed contractor.~.
3/02
Electric Installation Verification
(Electdc~ Con. tot N~,} ~ -
have been con~acteO to per,Bm elecffic installauon work
~e ofp~ con.crud to)
(A~r~s ~h~ wo~ will b~fO~ed) "'
(Zip Code)
The natm-e of the work consists of: (Check One or Describe th~ Natur, of Work)
~'_ Recotmection or new circuit for r~lacem.at Heating PI~t ~or MC Condms~r.
~ R~o~m~on or new circ~t for repl~t ~lec~¢ W~r H~er.
Reco~m~tion of ~e ~ice En~ Cable, Meter Box, alterations to r~cep~;clc~
li~ting fixt,~r~ due to siding / ~ffit ~t~lafion. Note: N~' Se~ic: Entrance
C~I~ will r~aire a sepm~ p~it.
......... Reco~tion or new cimuit for other p~enfiy wi~d applianc~ / fixtures.
Othor
The value o£,lfi~ work is $ /~D.O ~.
I hereby yeti f~ Ibis woric will be p~rformed by an employee of this company and further ~terify lhe
m~ormeclion / instalbuion will ~,~ aone in compliance with manufaararer and Electric
(Dat~)