HomeMy WebLinkAbout0106381 HOSHKOSH
ON THE WATER
.lob Address 1014 WISCONSIN ST
Contractor A-1 HEATING & A/C INC
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner CHRIS A GRIMMER ETAL
Category 500- Residential-Heating & Ventilating
L~ Electric
New ] ~] Replace ]
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss IO As Approved ~ Existing ~ Not Applicable I Value
BTU Rate IO As Per Plan ~] Variable ~] Other I Value
No
Create Date
Plan
L~ Solid
106381
02/09/2004
Other
Vent J
HEAT CALC
Use/Nature LIVING UNITS/FURNACE REPLACEMENT*EIV HOMEOWNER ADVOCAP JOB#1663
of Work
Fees: Valuation
Issued By:
$1,954.90 Plan Approval $0.00
Permit Fee Paid
Permit Voided J
$35.00
Date 02/09/2004
Parcel Id # 0501650000
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 CT 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.
I (We)
Electric Installation Verification
(print homeowner(s) name)
the homeowner(s) of
(address where work is to be performed)
accept the responsibility for performing the electrical work as stated below for the property listed
a~ove.
The nature of the work consists off (Cheek One or Describe the Nature of Work)
~Reeonnection or new circuit for replacement Heating Plant end/or A/C Condenser.
Reconneetion or new circuit for replacement Electric Water Heater or power vented
water heater.
~ Reconnecti°n of the Service Entrance Cable, Meter Box, alterations to receptacles
and li~ fixtures due to siding / soffit installation. Note: New ServiCe
Entrance Cab!e~ will require a separate permit.
__ Reeonnection or new-circuit for the replacement of other permanently wired :'
appliances / fixtures.
~ New circuit for the addition of A/C to an individual dwelling unit, including
required service electrical ouflets. Note: Homeowners can only do their own
electric on a single family owner occupied home. Work on a condominium,
duplex, rental, or multi-use building would require a licensed master
electrician.
Other
The value of this work is $ _~Lf ~ ~
I herebY verify this work will be performed by me and further verify the reeonneetion /
installation will be done in compliance with manufacturer and Electric code requirements..
Homeowner(s) Signature
'(Dat~)
5/02