HomeMy WebLinkAbout0107395-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 2210 DOTY 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 CHERYL A PROCTOR
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
107395
04/13/2004
Other J
Vent J
Use/Nature
of Work
Replace furnace
and a/c *EIV form submitted by Drexler Electric
Fees: Valuation
Issued By:
$3,200.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$53.00
Date 04/13/2004
Parcel Id # 1400880000
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.
City of Oslflcesh
Division of Inspection Serv/¢es
PO Box 1130
Electric Installation Verification
,(We)
(Electrical Contractor Nmne)
(City) (S-------~ate)
have been c°ntracted to perform electric installation work for ~/_,,(.~
(Name of party contracted to) --'
at the following address: ~ I O
(Address white work ~-~ be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
-,~ Recormection or new circmr for replacement Heating Plant and/or A/C Condenser.
_ _ Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection 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.
Recom~ection or new circuit for the replacement of other permanently wired
appliances / fixtures.
_. _ New circuit for the addition of AYC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including reauired service
electrical outlets.
_ Other
(Zip Code)
The value of this work is $_ ] 373
I ihereby verify this work Will be perfm~ned by an employee of this company and further verify
tke recormection / installation will be done in compliance with manufacturer and Electric code
requirements.
(Signature of Company Officer)
(Prin~ Name o f ~-~llc e~---) - -(Date)
5/02