HomeMy WebLinkAbout0107393-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1515 EVANS 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 RONALD A GUTZMAN
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
107393
04/13/2004
Other J
Vent J
Use/Nature
of Work
Replace furnace.
* EIV form signed by Drexler Electric
Fees: Valuation
Issued By:
$3,420.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$57.50
Date 04/13/2004
Parcel Id # 1511770000
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.
O/HKO/H
Electric Installation Verification
(Electrical Contractor Name)
(Address) I (City) (State)
(Zip Code~
have been contracted to perform electric installation work for~/-~ ,~,r,,o'..x /,~,~
(Name of parry contracted to)
at the following address: /~3'- ~-L/0~j-~ g-7~
~Address where work will be perforn~ed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
· "~ Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or ne~v circuit for replacement Elecwic Water Heater or power vented
water heater.
Recormection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Recormection or new circuit for the replacement of other pet:manently wired
appliances / fixtures.
New circuit for the addition of A/C to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
the value of this work is $
I hereby verify this work will be performed by an employee of this company and fiu-ther verify
l:he recormection / installation will be done in compliance with manufacturer and Electric code
requirements.
(Print Name of Officer)
(Date)
5/02