HomeMy WebLinkAbout0103087-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1544 DELAWARE ST
Contractor RASMUSSEN'S HEATING & A/C 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 DONALD P/BETH S LAFRENIERE
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A O Chimney B ~) Direct Vent ~ Not Applicable I
Heat Loss ]~ As Approved O Existing ~ Not Applicable ] Value
BTU Rate ]~ As Per Plan ~) Variable ~ Other ] Value
No
Create Date
Plan
L~ Solid
103087
07/24/2003
Other J
Vent J
60m
Use/Nature SFR/Replace furnace & A/C. *EIV form from Slim's Electric.
of Work
Fees: Valuation $4,950.00 Plan Approval $0.00 Permit Fee Paid $80.00
Issued By: Date 07/24/2003
Permit Voided J
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 5154 DAVID DR OSHKOSH WI 54904 -8850 Telephone Number
920-235-6569
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.
F~x
HVAC PERMIT APPLICATION
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Co...-~maing work without pinuPS(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which evea' is greater.
OR
l£vou are a contractor Darticipatin~ in the Permit Fee ~4ccount System and h~ve adequate funds, check here
ff voa want this processed through your accoant [']
DATE 7-R !'~3
OB OD SS /5 /q
OW~l~ ~¼ L~ Fr¢~-
eO~CU'OR. ~,~,~,~-~,'~ i-4 VA c
Cu ~:CK [] ALL APPLICABLE
US~ CATEGORY
]~ingle Family DDuplex C]Multi-Family EIRontal r~commemial []Induslrial
FUEL [~as ClElectric C]Solid
DOff ClSolar
~Por~Air ElRadiant nstoam E~C ~lV~t
IS CglMNEY BEING LINED C]No ~ - LINE~ SIZl~.
Note: ~ c~ ~ ~ ~r~e B~'s ~ v~
SYS'I~EM [~New ~place
C~Other
ClHle~lrlc [~Hot Water ClSuppL ECon. Burner
B" &~A~
EII~ect Vent E]Other
DF~-~IPTIONOF~!.I. WORK BEING DONE E~f~I~.~_ ~C~r~,~,~ e~t~ ~/C.
V~CW0~-.-~or*ad~e,i~n~r..~r~) $ ~/~5~.~° ,
~l:or ~i~ablo projo~ an ~ IusUdlal~ V~ion for~, signed by th~ lilec~i~al Contractor, ,,,,~ b~
~h~L If~ot *u~h~d or not ~li~ble~ a ~para~ l~Oi~l p~i i~ requ/red.
Electric Installation Verification
(Elootrical ComraoJ~ Name)
(Addr ) (Ci )
have been couiiaoted to perform olectrio installation work for
at the following address:
(Address where work will be performed)
The naim~ o£the work consists o~ ( .Check One or Descn'be the Nature of Work)
Reoonneotion or new circuit for replacement Henling Plant and/or A/C Condenser.
Reconne~ion or new circuit ~ replacement Elec~c Water Heater or power vented
Reconneotlon of the Service F. altrance Cable, Meter Box, alterations to receptacles
anal lighting fixtures due to sidl.~ / soffit installation. Note: New Service
Enh~,~e Cables w/Il require a separate
~on or n,~w oirouit for tho replacement of ~ pe,~;,,~ently wired
applianoes /
New circuit for the addition of A/C to an bm~v/d#a/dwell~g t~t (house or the
iIldlv~b,-! ',s~it~'in a dupl~ or~)~ inoludingl'ixl~
eleclrical out. leis.
Thoyah~ of*bls work is $ $ 50.co
I hereby verify this work will be performed by an employee of this company and further verify
the reconnecfion / installation will be done in compliance with manufacturer and Electric code
(oa~)