HomeMy WebLinkAbout0106140-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1723 SHERIDAN ST
Contractor CUSTOM HEATING & COOLING
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 658 JEFFERSON STREET LLC
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
106140
01/21/2004
Other
Vent J
Use/Nature
of Work
Replace furnace, add heat duct second floor. Line chimney. *EIV form from Hoehne Electric.
Fees: Valuation
Issued By:
$3,840.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$63.50
Date 01/21/2004
Parcel Id # 1201380000
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 400 W NORTHLAND AVE APPLETON WI 54911 - 0 Telephone Number
920-832-4005
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.
106140
CITY OF OSHKOSH
No
OSHKOSHHVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
658 JEFFERSON STREET LLC
Job AddressOwner
658 JEFFERSON ST
Create Date01/21/2004
ContractorCUSTOM COMFORT INCCategory500 - Residential-Heating & VentilatingPlan
OilElectric
üü GasSolarSolid
Fuel
New üü ReplaceOther
System
üü Forced AirRadiantSteamA/CVent
ElectricHot WaterSuppl.Con. Burner
Chimney TypeChimney AChimney BDirect VentNot Applicable
Heat LossAs ApprovedExistingNot ApplicableValue0
As Per PlanVariableOther
BTU RateValue
Use/Nature
SFR/ Replace furnace, add heat duct second floor. Line chimney. *EIV form from Hoehne Electric.
of Work
Plan Approval$0.00
Fees: Valuation$3,840.00Permit Fee Paid$63.50
Issued By:Date01/21/2004
Permit Voided
Parcel Id #0402620000
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.
SignatureDate
Agent/Owner
Address400 W NORTHLAND AVEAPPLETONTelephone Number920-832-4005
WI54911-0
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 Installation Verification
(EI~c~cal Conkactor Name)
(Addr~s) (City)
(State) (/z~p/~c~,)
/ ~me of p~y con~ to)
x
(Ad&~ wh~ wo~ ~ll ~ ~)
%W°f~ w~ c°~ists °f: (~k ~e or D--c~be ~e N.~. of ~ork)
~fion ~ new ~t . ~o , , _ ~ ,
:,,d: ,, n~ c~mr tor r~l~ Bl~mc Wa~ H~ or ~w~ v~t~
~ h~t~.
R~tion of ~¢ S~ice Enu~¢ C~te, M~ ~x, Mt~o~ ~ r~l~
~d li~g fix~ due to sing / ~t ~lafion. Note: N~
~ C~I~ will ~M~ a ~ate ~t.
~on ' ·
__ or new c~mt for ~e ~l~t ofo~ p~fly
~li~c~ / fix~.
~ N~ eight for ~e ~fion of~C ~ ~ individ~l ~llmg u~it ~oua~ or
~du~ s~t~s M a d~lex or condo~mm), mclu~g ~u~
el~Mcal outl~s,
The valu~ of this work is $/..4~.~0
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance VOth manufacturer and Elac~ic code
r~quirement$.
t
5/02