HomeMy WebLinkAbout0109381-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1653 NEBRASKA ST
Contractor TENTH STREET STATION 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 VIOLET BRUSIUS LIFE ESTATE
Category 502- Residential-Both
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
109381
07/19/2004
Other
Vent J
80000 / 2.5 Ton
Use/Nature SFR/Replace furnace and install new A/C EIV from Drexler Elect.
of Work
Fees: Valuation
Issued By:
$5,500.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$87.50
Date 07/19/2004
Parcel Id # 0305760000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 924 OHIO STREET OSHKOSH WI 54902 -0 Telephone Number
236-8770
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Electri, Installation Verification
(Elcctrlcal Contractor Name) -
(Address) / (City) (State) (Zip Code)
babe been contracted to peffom~ electric installation work
at rite following address: /~"3 ~tf~t6~'$/~,~ (Name of party conh'acted to)
(Address where work ~H be ~fo~ed)
The nature of~hework comists of: (Ch~k ~eor Describe ~eNa~e of Work)
~ ~e~ec~on or new circuit ~or r~lac~mcnt H~ting pl~ ancot MC Cond~s~.
- ~ec~ectwnornewcircuitfor~lacementEl~eW~erHeat~orpow~vent~
wat~ heater.
Recom~fion of~e S~ce En~ce C~le, M~ Box, alt~fions to r~eptacles .
m~d li~ting fixtures due to sid~g / soffit instillation. Note: N~ S~ice
En~ce Cables will require a s~arate pe~it.
~ Recoxmection or u~ c~uit for the r~lac~t.of o~r pendently ~r~
appli~ces / fixture. ' ' '
New ~t f~ ~e addition of MC to ~ ~ndividualdwdling. unit ~o~e.or,~h~ ....
individufl syst~s in a duplex or ~nd~i~), inc!u~$ req~md s~ce
el~t~cfl outlets.
The value of this work is $ ~..~0. ~
I hereby verify this work will be performed by an employee of this company and further verify
the recmmection / installation will be done in compliance with manufacturer and Electric code
requirements.
(Signature bf Company Officer)
(Prin~ Nam~ of ~-~mer) (Date)
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