HomeMy WebLinkAbout0105357-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 833 JEFFERSON ST
Contractor A-1 HEATING & A/C INC
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner DAWN L MARWITZ
Category 502- Residential-Both
L~ Electric
New ] ~] Replace ]
Forced Air ] ~ Radiant
Electric I [~] Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~) Chimney A ~] Chimney B ~] Direct Vent O Not Applicable I
Heat Loss I~] As Approved O Existing ~] Not Applicable I Value
BTU Rate I~] As Per Plan ~] Variable ~ Other I Value
No
Create Date
Plan
~ Solid
105357
11/17/2003
Other ]
Vent
Use/Nature SFR/Replace furnace & A/C. *EIV form from Homeowner.
of Work
Fees: Valuation
Issued By:
$3,381.07 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$56.00
Date 11/17/2003
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 W8078 HILLCREST COURT HORTONVILLE WI 54944 -0 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.
Box 1130
)shkosh, WI ~49t)3-11 ~0
Iqm,c (920) 236.-5050
~,,.,,,,,,~,.,,, ,,,,,,: i,, wi, ,,,~ ~,,~ ~,,,,~,,,,~,,,~. NOV ~ 7 2003
·Application~s) aud tkc'(~jcanbc bmu~ldlu('hly Itall Room 205 (-'madcd
('liE( 'K 1~ Al,I, Alqq,I('ABI,E
! TS E_¢ :A'FE(;OR Y
[~/~glc Family Ol)uplcx [~Mulli.,t"amily ORcrltal E]Cot, mcrcial ['_3 b,lustrial
Fill<t,
Of)il OSolar []Othcr ..........
TYPE /
Ol'orced Att 0 {admnt f'lStcam L]A/{' []Vcnl [.-]l';[cckic [ }t W;llcl L-]supI?t.i~(km. i½umer
ISCIlIMNF, YBEINGI,INED~)Oycs -LINI:R' SI' 7, L'
Notc: All chilluleys shall he sized per the BTU's bctllg vented.
(1IIMNEY TYPE
IIEAT I,OSS
I[l'l I RATE
U('himl]cy A
[,3A:i Approved
{'lA,'; I'cr
['3Ch mmcy B
~2"ffxist lng
[] Varml'ilc
& M ANIJI:ACI'I IRI,;I(
l)l~:S{ 'IIH P'H()N ¢)F Al,I, WORK BEIN(; I)ONE
I<1,1<( 'TRICAI, ('ONHtACI'OR ..............
3/02
(we)
Electric Installation Verification
(print homeowner(s) name)
the homeowner(s) of 333 3' PP*r,o 3T P, ,qos ¢/
(address where wo~ ~ to be p~o~ed)
~t ~e respnns~b~ty for peffo~ng ~e ele~ work ~ s~t~ below for ~e pm~y h~ed
above.
The nature of the work consists of: (Check One or Describe the NatUre of Work)
_~~r new circuit for replacement Heating Plant and/or A/C
Condenser.
Reconneetion or new circuit for replacement Electric Water Heater or power vented
water heater.
Recnnneetion of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other p~manenfly wired
app. liances / fixtUres.
New circuit for the addition of A/C to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric on a single family owner occupied home. )Fork on a condominium,
duplex, rental, or multi-use building would require a licensed master
electrician.
Other
The value of this work is $ ~"~' ~ 9
I hereby verify this work will be performed by me and further verify the reconnection /
installation will be done in compliance with manufacturer and Electric code requirements.,
Homeowner(s) Signa~
;