HomeMy WebLinkAbout2004-HVAC (furnace A/C) SHKOSH
ON THE WATER
.lob Address 3775 PURPLE CREST CT
Contractor AMERICAN HEATING & A C CO
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 CLINT D CZERWINSKI
Category 501 - Residential-Air Conditioning
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
107377
04/12/2004
Other
Vent J
Use/Nature
of Work
1.5 ton a/c unit. *EIV form filled out by Seckar Elec
Fees: Valuation
Issued By:
$1,490.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$27.50
Date 04/12/2004
Parcel Id # 1261330000
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 1129 MICHIGAN AVE OSHKOSH WI 54902 -0 Telephone Number
235-8090
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.
×
Fax
Electric Installation Verification
The natm'e of the work consists of: (Ch~ck One or Describe tl~ Natur~ of Work)
Reco~me~tion or new circuit for replacement Heating Plant a.nd/or ,adc Condenser.
Re¢orm~ction or new circuit for replacemont Electric Wa~r H,~ater.
Reco~mection of the Service Enl~'an(~ Cable, Meter Box, alterations to r~cep).',cles and
lighting fixtures due to siding / soffit installation. Note; New Service Entrance
Cables will r~quire a separate p(~mit.
Re¢ozmection or new circuit for other permanently wired appliances / fixtures,
Other
' /St)
The value ofthi~ Work is $
I hereby verif~ this work will b~ p~rformed by an employee of this company and filnher veri~ the
r~:onnecdon / installation will be clone in compliance with manufa~ and Electric code
l'~Q t~!l £elTt e'~lt $.
(Prim Nam~