HomeMy WebLinkAbout0108730-HVAC (furnace; a/c)OSHKOSH
ON THE WATER
.lob Address 536 W 6TH AVE
Contractor AMERICAN HEATING & A C CO
Fuel [~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air
Electric
Oil
Radiant
Hot Water
Owner DOROTHY R BETTIN
Category 501 - Residential-Air Conditioning
Electric
Replace
L~ Steam
L~ 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
L~ Solid
108730
06/15/2004
Other J
Vent J
Use/Nature
of Work
Replace furnace
and add 2T A/C* Seckar Electric.
Fees: Valuation
Issued By:
$4,800.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$77.00
Date 06/15/2004
Parcel Id # 0600490000
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 1129 MICHIGAN AVE OSHKOSH WI 54902 -0 Telephone Number
235-8090
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.
Electric Installation Verification
(Electrical Contractor Name)
(Ad.ess) (Ci~) (State) (Zip Code)
have been connoted to peffom ~lec~ installation work for ~/~[CJ'~
~me ofp~ con~cted to)
at the following ad.ess: ~Z~ ~. [~
(Ad&ss where work will be
The nature of the work consists of: (Check One or Describe the Nature of Work)
Reeormection or new circuit for replacement Heating Plant and/or MC Condenser.
Reconnection or new circuit for replacement Electric Water Heater,
Recormection 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.
Reconneetion or new circuit for other permanently wired appliances / fixtures.
Other
The value of this work is $ / ~-~- O o
I hereby verify this work will be performed by an employee of this company and further verify the
recormect~on / installation will be done m comphance w~th manufacturer and Electric code
requirements.
(Signature 8f Company Officer)
(Print Name of Officer)
(Date)