HomeMy WebLinkAbout0105079-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 655 W 10TH AVE
Contractor AMERICAN HEATING & A C CO
Fuel [~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Owner GREGORY W SCHNEIDER
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
Forced Air I ~J Radiant
Electric I ~J Hot Water
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
105079
10/31/2003
Other
Vent J
75m
Use/Nature SFR/Replace 75m btu furnace. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$2,285.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$39.50
Date 10/31/2003
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
v,O/HKO/H
H AC PERMIT A~L~pM~N7
All information after bold c. igegories must be provid~.~' ~;~'
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City tlall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-I 128. 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 Voit are a contractor particilLa_tit~g~n thee. P~et'~?_it fee Account St, stem and have adequate funds, check here
~,ou want £his process~_d tflj.?ig, ltgh yq!?tLaccou?lt~[~
I,^TE
.,OB,,,,I,,,E,S _(974.. ........
OWNER..
('ONTRAc TOR~ e~_rC~.._/~ .......
CIIECK ~ ALL APPI,ICABI,E
E CATEGORY
ingle Family F1Duplex ~Multi-Family U]Rental FICommercial IDIndustrial
FIIEL ~ff'~ a s UElectric [~Solid SYSTEM F1New ~:~eplace
ElOil UISolar DOther
TYPE
~,,grced Air nRadiant mStcam mA/C ClVent V1EIcctric Iqllot Watcr UlSuppI.F1Con. Burner
iS CIIIMNEY BEING LINED [3No ~Zes - I.INER SIZE ~" & MANUFACTURER
Note: All chFmneys shall be sized per the BTU's being vented.
CItIMNEY TYPE
HEAT LOSS
BTU RATE
~Ehimney A
f-lAs Approved
UAs Per Plan
r-IChimney B ElDirect Vent [3Other
[]~zxisting [3Not Applicable
U]Variahle E~llher Value
DESCRIPTION OF ALL WORK BEING DONE
VALUE (lncludinll labor and all materials inch,dinlz liEht fixtures) $ ~_~.
EI,ECTRICAL CONTRACTOR OR ~lec/rtc lnsfallation V
erlficahon form attached(If R~lacemen0
Electffcnl inrtnllation of new/replacement eqtdpment ,rhall be done ~ , licensed contractors.
3/02
Electric Installation Verification
<we -alc C a.ec tc I
(Electrical Contractor Name)
(Address) (Ci~) (S~te) (Zip Code)
have been cony'acted to perib~ elec~c installation work for J~/~ ~/~
~ ofp~ con~cted
(Address whe~ work will be peffo~ed)
Thc nature of the Work consists of:
(Check One or Describe the Nature of Work)
Reco:mection or new circuit for replacement Heating Plant and/or A/C Condenser.
Recormection or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box; alterations to recep):cles and
lighting fixtures due to siding / soffit installation. Note: New Servic: Entrance
Cables will r~uire a separate permit.
Reconnection or new circuit for other permanently wired appliances / fixtures.
Other
~e value ortl,i~ work is $ /,~O.O
I hereby veri~ this work will be pergrmed by an employee of this company and further verify the
recorm¢cdon / installatibn will bt done in compliance with manufacturer and Electric code
r~t:i~-ement 5.
(Print Name of Officer)