HomeMy WebLinkAbout0106943 HOSHKOSH
ON THE WATER
.lob Address 1018 VAN BUREN AVE
Contractor WESLEY HEATING & COOLING INC
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 LANA J SIEBERS
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
106943
03/18/2004
Other J
Vent J
Use/Nature SFR/Replacing the existing furnace. *EIV from Solar Electric
of Work
Fees: Valuation
Issued By:
$2,200.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$38.00
Date 03/18/2004
Parcel Id # 1607630000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 3220 Basler Ln Oshkosh WI 54901 -0 Telephone Number
920-235-6951
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
03/17/04 12:42 FAX 920 236 7725
Hat 17 04 O?{O9a MHC DSH
Solar Electric
~ (W~I
Electric Installation Verification
(El~trieml Contractor Name)
(Address) (Ciuy) (Stme) (Zip Code)
(Name or~'~y con~ct~m)
at the following address: 1~1~' ~ 4a..~ ~
(Addr~s w~ work willie ~}
The nature of the work consists oE (Che~k One or Describe the Nature of Work)
7~ Rcconnection or new circuit for replacement Hosting Plant and/or MC Condmser.
Reconnection or new circuit for replacement Electric Water Heater or power v~ted
Re~onnection of the Service Entrance Coble. Meter Box, alterations lo receptacles
and lighting §sture$ due to siding!$O~t installation. Note: N,,w Service
Entrance Cables will require: a r,6'l~rate pem~it
__ Rm~.onnection orn~ circuit for the rup~t ofotheir pmnmnemly wired
appliances fixtures,
__ New circuit for the !dd'_,tion of A/C to an inc~id~l d~,,efling unit {house or th~
individual systems in a duplex or cmvimuiniumL including r~uired sc. fritz
electrical outlets.
Other
The value of this work i$ $ / 5""~. ~ .
I hereby verify this work will be performed by an employee of this company and further verify
the reconneerion / in~tallation will be done in compliance with manufacturer and Elec~c code
roquirements.
'( Sigm~.~'rafo f Company Offlcer~
(Print Nmue of OlT~.er) '(Date!