HomeMy WebLinkAbout0107933 HOSHKOSH
ON THE WATER
.lob Address 150 KOPE AVE
Contractor TENTH STREET STATION INC
Fuel [~J Gas I
System [~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air
Electric
Oil
Radiant
Hot Water
Owner GARY G/DAWN A SCHULTZ
Category 502- Residential-Both
~J Electric
Replace
~J Steam
Suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B
~ Existing
~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
~J Solid
107933
05/07/2004
Other
Vent
Use/Nature
of Work
Replacing the furnace and installing a new a/c unit. Drexler will be doing the electrical hook-up.
Fees: Valuation
Issued By:
$2,900.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$48.50
Date 05/07/2004
Parcel Id # 1532300000
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.
Electric Installation Verification
(EI~cM Con,actor
~Addrcss) / ' (Ci% (Stsc) (Zip Code)
have been con~acted to perfo~ elec~ic inaallation work for~4
at the following ad&ess: / ~ ~p~ ~ ~ ~ame ofp~y contracted to)
(A~dresa wh~ work ~11 be p~fo~aed)
The nature oft~e work ~nsists of: (~k One or Desc6bc ~e Ha~e of Work)
~'. ~o~ec6on or n~ ci~uit' fur replac~ent Hea~ng Pl~t ~or ~C Condenser. ·
__ R~onneetion or n~ circuit for r~lacemcnt Elcc~c Wat~ H~ or ~wer v~t~
wat~ heat~.
Recollection of the Set,ice En~ce Cable, Met~ Bo~ ~t~ations to
~d li~ting f~tur~ due to siding / soffit instMlation. Hote:
Entr~ce Cables will require a scp~ate p~it.
K~o~ection or new c~c~t for ~c ~lac~t of oth~ p~.~ently ~r~
appli~ces / fixates.
~ Newckcuitfortheadditionof~Ctoantndividual~ellingttait(houseurthe
~vidual systmns in a duplex or condomi~um), including req~rca service
eleCtlical outlet.
Other
The vahte of~is work is $ ~ - ~--
I hereby verify this work will be per£onned by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
(S~gnature of Company Officer)
(Prin~ lqame of ~-~cer) (Date)
8d W~t::~:TT P00~ LO -Be~ OSTO-C]~-~-08G: 'ON XDJ 'DNI'NOIIUi$ 1~15 HIN31: FIOHA