HomeMy WebLinkAbout0105995-HVAC (2 furnaces)OSHKOSH
ON THE WATER
.lob Address 1560 MARICOPA DR
Contractor BLACK-HAAK HEATING
Fuel
System
Gas J ~J Oil
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner JAMES C/MELISSA HUANG
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate IO As Per Plan
Chimney B ~) Direct Vent ~) Not Applicable I
O Existing ~) Not Applicable I Value
~ Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
105995
01/08/2004
Other
Vent J
Use/Nature
of Work
Replace two furnaces. *EIV form from Krueger Electric.
Fees: Valuation
Issued By:
$1,500.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$27.50
Date 01/08/2004
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 PO BOX 3070 APPLETON WI 54914 - 70 Telephone Number
920-757-9990
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.
Electric Inslmllaflon Verification
have o~m cantina:ed to perform ¢l=:Iri= ir~,:allatlon work for
(Check On= or Dcr. cribe th~ Natur~ of Work)
.~,. Rccormc=ti~m or n=w c~r~uit for ~tac~t ~g Plmt m~or MC C~d=,
,, Reeo~ or n~ ri~uit for r~lae~t ~e W~
_ Re:o~ of~e S~c~ E~ C~I~ Ma= Box. ~t~ons m ~1= ~d
li~fing fix~ du~ ~ ~idmg / ~ffit i~afio= Not=: N~
C~I~ will ~ a s~e ~i~
_._ Recu~i~ or n~ ~I~uit iht oth~D=a~ly.~ ~li~c~ /
Oth~
Thc vrdue of this work iS 5 '~/.S~)
[ hereby v~-ify this work will b= p~rform~i by ~ ~.uplo~ of ~ c~,ii~y ~d f~ ~
~qu~.