HomeMy WebLinkAbout0109132-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 651 W 8TH AVE
Contractor TENTH STREET STATION INC
Fuel [~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air
Electric
Oil
Radiant
Hot Water
Owner JAY C/LINDA L EDSON
Category 500- Residential-Heating & Ventilating
L~ 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
109132
06/28/2004
Other
Vent J
Use/Nature MBTU furnace.
of Work
Fees: Valuation
Issued By:
$1,800.00
Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$32.00
Date 07/06/2004
Parcel Id # 0601220000
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
(Electrical Contractor Name)
(Add~e~ / . _
(City) (State) (Zip Code)
have been conh'aeted to perform cleero installation work for"~____~ ~
(Name of party contracted to)..
at the following adda-ess: .~ ~'] ~t. ~.~,~ ~
(Address where work will be performed)
The nature o£fl{e work consists of: (Check One or Describe the Nature of Work)
~ R~coxmeet/on or new circu/t for roplaGement Heating Plant and/or A/C condenser.:'
~ Reconnection or new circtfit for replacement Electric Water I-Ieater or power ve~tcd
water heater.
. Reeonneetion of the Service Entrmace Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Serv/ce
Entrance Cables will' require a separate pea'mit.
- Reconn~ti0n or ~ne~r cimt!.t for the replacean~nt of other P~eng..aI!eaatl ,.
- apPliLnF, e, Tfikmres.'. . .......... ~-.~...:: ..... y.w/~ed......
_ New circuit for the addition of A/C to an indtvidualdwelling ~ntt (house or the
individual sy~ems in a duplex Or condominium), including required $ervico
electrical outlets. '
~ Other
· Tile value of this work is $ ~"a~.~ ~
I h6¥elSy 9eilfy'tl~s Work will be perfonnefl by an employee of this company and further verify
the reeomleetion / installation will be done in compliance with manufacnurer and lglee~c
requirements, code
(Signature 6f Company Officer)
. (Prin~ame of~cer) ' (Date) .
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