HomeMy WebLinkAbout0109142 HOSHKOSH
ON THE WATER
.lob Address 707 W 17TH AVE
Contractor TENTH STREET STATION INC
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner STEVEN L/GUDRUN HEMMINGHAUS
Category 500- Residential-Heating & Ventilating
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
109142
07/02/2004
Other
Vent J
Use/Nature SFR/Replace furnace & add new A/C* EIV from Drexler Electric.
of Work
Fees: Valuation
Issued By:
$3,500.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$157.50
Date 07/07/2004
Parcel Id # 1405910000
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.
FROM :TENTH STK:'EET STP~TION, INC. FAX NO. ~920--2~1~-015~ Jul. 02 L:::)t~4 02:54PM P2
" Electric Installation Verification
(Electrical Con,reeler Name)
(Address) ] (City) (State) (Zip Code~'~
have been con~a'acted to peffomi electric installation work for ~r/"~
(Name of party contracted to)
at the following address: _ '~'~ A~. f7 ~
(~ddrass where work will be perfornled)
Thi~riatur¢ of the work consists of.: (Check One or Describe the Nature ofWork)
e onn tion or PeW eiro t for r placcm .t a tag
- Rec°~mect/°n °r new circuit for re'placement iElectfi¢ Water Heater or power vented
water heater.
· Reconnection of tho Service EnWance Cable, Meter Box, alterations to mcept~les
~d li~g ~x~ duc to siding / soffit ins~llaflon, Note: N~ Se~ce
En~ce Cabl~ will r~uire a s~aratc p~it,
R~hon ~ n~ c~mmt for ~le r~lac~t.ofp~vr pendently ~rod
~h~ / fixt~.
.... New c~cuit for tho addition of~C to an indi~d~l d~ll~ u~it ~o~e ~ ~e
~duaI s~t~s m a dupl~ or condom.s), inclu~g requir~ s~ce
elec~c~ outlets.
~ O~er
The value of this work is $ ~.,Vo, '~
I hereby verify this work will be performed by an elnployee of this company and further vgrify
the rcconneclaon / installation will be done m comphance w~th manufacturer and Electric code
requirements.
(Signature ~£Company Office') -
5/02