HomeMy WebLinkAbout0107960 HOSHKOSH
ON THE WATER
.lob Address 1530 S OAKWOOD RD
Contractor TENTH STREET STATION 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 RAY W/AUDREY S CONNICK
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
107960
05/10/2004
Other
Vent J
Use/Nature
of Work
new 2 ton a/c. *EIV from Drexler Elec
Fees: Valuation
Issued By:
$1,500.00
Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$27.50
Date 05/10/2004
Parcel Id # 1320513406
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 924 OHIO STREET OSHKOSH WI 54902 -0 Telephone Number
236-8770
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.
FROM :TENTH STREET STATION, INC.
FAX NO. :920-2~-0150
Ma~. 07 2004 11:55AM P4
.......... ·Electric Installation Verificatioi~ ' .......
. '_ 'Lz.c
.. . . ~.,l¢ctrical Contractor Name)
.': I I~ereby verify ~his ~vork will be perform'ed by an employee Of this company and further v~rify
' ~he~uT~°mnn~s.tion / installation will be done in compliance with manufactta.er and Electric,code
· (Address) / . . (City) (State)..... (Zip Code)
have been contracted to perform electric installation work for ~t~"l~ ~T't~t.~'
. (Name of party contracted to)
at the following address: /-q'-JO .~.~,. ~,,~t,o'o~O
(Ad&'ess where.work will be per£o~:ned)
The nature of the work Consists .of: (Check one or Descr/b¢ the Nature of Work)
~ Reconneetion or new circuit for replacement Heating Plant and/or A/C Condenser.
. · R¢conn¢c?on or new cimuit for replacement Electric Water Heater or power vented
.waterneater, . . . . . .. . .
Reconnection ofthb Service Entrance Cable, Metc-r Box,. alterations tO receptacles
and lighting fixtures due to siding / soffit installat/on. Note: New Service:
.. Bntrance Cables will require a sephrate permit.
- Re~onnection or new circuit for/he replacement Of other permanently wired
appliances / fixtures.
N~v circuit · ' ' "' ' ' ' '
' ' -- for tho addztxon'ofA/C to an individual dwelling ~nit (house or the
... · . .m ~wdual systems m a duplex or condominium), including required service
. ' electrical outlets.
. ~ ' ' Other ·
The va!ut of this work is $~ ff',g~, ~ '
Company Officer)
"~an~mme of O~r) ~ (mtn3''~ -