HomeMy WebLinkAbout0110752 HOSHKOSH
ON THE WATER
.lob Address 2017 MOUNT VERNON ST
Contractor PREMIUM AIR INC
Fuel [~J Gas ~
System ~ New
~ Forced Air 1
~J Electric I
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Owner KATHLEEN A GONSMAN
Category 502- Residential-Both
Electric
Replace
Radiant
Hot Water
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 ~ Direct Vent O Not Applicable I
~ Existing O Not Applicable I Value
~ Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
110752
09/10/2004
Other
Vent J
Use/Nature
of Work
Replacing the furnace and A/C. EIV provided by Premium Air
Fees: Valuation
Issued By:
$5,498.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$87.50
Date 09/24/2004
Parcel Id # 1515400000
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 N3225 HWY 15 HORTONVILLE WI 54944 -0 Telephone Number
920-982-3323
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.
Oshkosh
InspecSions
920-23G-5084
p.2
Electric Installation Verification
,, JElectdcat Contractor Nme)
(City) (State) (Zip Code)
have been contracted to peffom electric installation work for
(N~e of p~y contract~
at the following address: ~O/7
(Address wh~e work will be parroted)
The nature of the work consiste eft (Check One or Describe the Nature of Work)
X Reconnection or nm~ circuit for replacement Heating Plant and/or A/C Condenser.
__ Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
__ Reconnection of the Ser~'ice Entrance Cable, Meter Box, akera:ions to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables wilt require a separate permit.
Recennecticm or new circuit for the replacement of other permanently wired
appliances/fixtures.
X Ne;v circuit for the addition ofA/C r.o an individual dv,'elling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work I $~__- .... _._ .
I hereby van fy this work wilt be performed by an employee of this company and further veri(~,
the reconnection / installation will be done ~n. compliance with manuxac.urer"' ~ and Electric' coae·
rcquir~ -
U3~gnamre of Company Officer) (Date)
(Print l~ame of Officer)
5/02