HomeMy WebLinkAbout0107394-HVAC (furance & a/c)OSHKOSH
ON THE WATER
.lob Address 457 W 14TH AVE
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 GARY F/MARY GRAY
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
107394
04/13/2004
Other
Vent J
Use/Nature
of Work
Replace furnace
and add a/c. A 3" chimney liner will be installed. *EIV form submitted by Drexler Electric.
Fees: Valuation
Issued By:
$3,645.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$60.50
Date 04/13/2004
Parcel Id # 0907250000
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 Oshkosh
Division of Inspection Services
Electric Installation Verification
(Electrical Contractor Name)
- (Address) I (City) (State)
(Zip Code)
have been contracted to perform electric installation work for ~Z~
(Name ofpa~y con~ac~ed to)
at the following address: ~ ~' /~
(Address where work will be perforated)
The naive of the wm~ consists of: I Check One or Deschbe the Natm'e of Work)
~ Reco~ection or new mrcuir for replacement Heating Pl~t ~or MC Condenser.
Reco~ecuon or new circuit for replacement Electhc Water Heater or power vented
water heater.
Reco~ection of the Se~ice En~ce Cable, Meter Box, alterations to receptacles
and lighting fix~lres due to siding / soffit installation. Note: New Se~ice
Enhance Cables will require a sep~ate pe~it.
Reco~ecfion or new circuit for ~e replacement of other pendently wired
appliances / fixtures.
~ New mrcuit for the additi6n of~C to ~ individual dwelling unit (house or ~e
individual systems in a duplex or condominium), includ~g reouired se~ice
elec~cal outlets.
O~er
The value of this work is ~ /j'-~ ,- o-o
I hereby verify this work will be performed by an employee of this company and further verify
t.ae reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
(Print Name of Officer) "
(Date)
5/02