HomeMy WebLinkAbout0110754-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1637 CENTRAL ST
Contractor PREMIUM AIR INC
Fuel ~J Gas ~ ~J Oil
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner SCOTT S/SUSAN M FINK
Category 502- Residential-Both
L~ Electric
New ] ~] Replace ]
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type le Chimney A C] Chimney B C] Direct Vent C] Not Applicable I
Heat Loss ICI As Approved e Existing C] Not Applicable I Value
BTU Rate ICI As Per Plan C] Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
110754
09/24/2004
Other
Vent J
Use/Nature SFR/Replace furnace and A/C Line chimney w/3 inch liner EIV from Premium Air
of Work
Fees: Valuation
Issued By:
$5,857.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$93.50
Date 09/24/2004
Parcel Id # 1502120000
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) (Ci~) (State) (Zip C~e)
have been contracted to perform electric installation work for ~t,_e~. ~ ~'rt s~ tEt'r~' .
(Name of party contracted to)
al the following address: ){~37 ~r~(
(Address where work will be performed)
The nature of the work consists el: (Check One or Describe the Nature of Work)
)<~ Rcconncction or new cimuit for replacement Heating Plant ....... _ .......
-- Rec°nnection or new circuit for replacem~,-nt Electric Water Fleater or power vetoed
water heater.
Reconnection of the Service F, atranec Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Sen'ice
Entrance Cables will require a separate permit.
~ Rec~ or new circuit for the replacement ofoth~pelmanemiywired
appliances ! fixtures.
.~- New circuit for the addition of A/C m an individual dwelling unit (hOuse or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $ ~:~9,~tD .e? ~
! hereby redly this work wilt
tile reconnecti
(Signature o:
be performed by an employee of this company and fun.her verify
~ompany O£ficer) (Print Name of Officer) (Date)