HomeMy WebLinkAbout0110751-HVAC (furnace; a/c)OSHKOSH
ON THE WATER
.lob Address 1230 W 10TH AVE
Contractor PREMIUM AIR INC
Fuel ~J Gas ~ ~J Oil
System
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner JOHN L/ELEANA L FAILLA
Category 502- Residential-Both
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 O Direct Vent ~ Not Applicable I
O Existing ~ Not Applicable I Value
~ Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
110751
09/24/2004
Other
Vent J
Use/Nature SFR/Replace furnace and A/C EIV provided by Premium Air
of Work
Fees: Valuation
Issued By:
$5,584.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$89.00
Date 09/24/2004
Parcel Id # 1307760000
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.
Electric Installation Verification
(Electrical Contractor Name)
(Address)
(City)
have been contracted to perform electric in~'tallation work tbr
(Stale) (Zip Code)
(Name ofp~y con~a~t~
at the following address: I2~.ZX3 Ix.). ) 0 ~ ~4.c~..
(Address where work will be performed)
The nature of the work consists of: (Cheek One or Describe ~e Nature of Work)
~ Recormection or new circuit for replaeemant HeaZing Plant and/or A/C Condenser.
Reconnection or new circuit for replacem~mt Electric Water Heater or power vented
water beater.
Reconnection of the Service Enk-aaee Cable, Meter Box, alterations to receptacles
and lighting fixtures clue to siding / soffit installation. Note: N*ew Service
Entrance Cable~ wilt requiro a soparate permit.
~ Reeonn~on or nc~v circuit £or the replaeemem ofo~aer per'mur~iywired
appliances ! fixtures.
-- New cireuit for the addition of A/C ~o an individual dw, elling unit (house or lhe
individual systems in a duplex or condominium), including required se.wice
electrical outlets.
Other
The value of this work is
I hereby verify this work will be performed by an employee of vhis company and further vcwify
the reconnection / installation will b~ done in compliance with manufacturer and Electric code
requirements.
(S~gnature ot Company Officer)
(Print Name of Officer)
(Date)