HomeMy WebLinkAbout0107391-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1520 BOWEN ST
Contractor
Fuel [~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
ALL SEASONS QUALITY HTG & CLG
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner JOHN S O ELERT/COLLEN A TOMAS
Category 502- Residential-Both
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
107391
04/13/2004
Other J
Vent J
Use/Nature
of Work
Replace furnace
and add a/c unit. Install 3" chimney liner for water heater. *EIV form signed by Drexler Electric.
Fees: Valuation
Issued By:
$4,400.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$71.00
Date 04/13/2004
Parcel Id # 1511830000
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 3698 VINLAND RD OSHKOSH WI 54901 -0 Telephone Number
920-426-8090
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.
Cit~ of Oshkosh
Division of Inspection So.ices
215 Church Avenue
PO Box 1130
Electric Installation Verification
(Electrical Contractor Name)
(Address) I (City) (State) (Zip Code~
have been con~acted to perfo~ electric inst~lation work for ~ ~ ~o~ ~
~ame ofpa~y con~acted to)
at ~e following ad,ess: f ~ ~o~ ~ ~
(Address where work will be perfo~ed)
The nature of the work consists of: {Check One or Describe the Nature of Work)
~ Reco~ection or new circ~t for replacement Heating Pl~t ~&or ~C Condenser.
Reco~ection or new mrcuit for replacement Electric Water Heater or power vetoed
water heater.
Reco~ection of the Se~ice Entr~ce Cable, Meter Box. alterations to receptacles
and lighting fixtures due to siding / soffit inst~latioa. Note: New Se~ice
Entr~ce Cables will requke a sep~ate pe~it.
Reco~ection or new circuit for the replacement of other pendently wired
appli~ces / fixtures.
New circuit for the addition of~C to ~ individual dwelling unit (house or the
individual systems in a duplex or condominim), including required se~ice
electhcal outlets.
Other
The value of this work is $ f~)' o~
t hereby verify this work will be performed by an employee of this company and fitrther verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
reqmrements.
(Signature of Company Officer)
( tint!Name of Officer)
(Date)
5/02