HomeMy WebLinkAbout0110753-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 2329 MINERVA ST
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 THOMAS D KRUEGER
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
~ Existing O Not Applicable I Value
~ Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
110753
09/24/2004
Other
Vent J
45000
Use/Nature SFR/Replace furnace and A/C EIV provided by Premium Air
of Work
Fees: Valuation
Issued By:
$6,797.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$107.00
Date 09/24/2004
Parcel Id # 1214570000
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) (State) (Zip Code)
have been contracted to perform eleetric installation work for(N~eaoTp~yc{o'{n~r~ted~t~\ ,
at the following address: ,~ ~ 2- ~ /lfkt~r~e ~ ~,a.
(Address wh~e work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
~ Recormection or new circuit for replacement Heating Plant ~or A/C Condenser.
Recormection or new circuit for replacement Electric Water Heater or power vented
water heater.
__ Reconnection of the Service Entrance Cable, lvieter Box, alters:ions to receptacles
and lighting fixtures due to siding / soffit installation. Note: New' Service
Entrance Cables wilt require a separate permit.
Reconnection or new circ,.fit for the replacement of other permar, ently,n-ired
appliances ! fixtures.
---- New circuit for the addition of A/C ro an individual dwelling unR (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $ e~3''O '~-
I hereby verify this work wil{ be performed by an employee of this company and further verify
the mconnection / installation will be done in compliance with manu£ac:urer and Electric code
requirements.
(Signature o£Companv Officer)
(l~nt Name of Officer)
(Date)