HomeMy WebLinkAbout0110755 HOSHKOSH
ON THE WATER
.lob Address 1102 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 CORY A/JULIE A STELLMACHER
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 O Direct Vent ~ Not Applicable I
O Existing ~ Not Applicable I Value
~ Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
110755
08/27/2004
Other
Vent J
Use/Nature SFR/Replace existing furnace and A/C EIV provided by Premium Air
of Work
Fees: Valuation
Issued By:
$3,345.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$55.18
Date 09/24/2004
Parcel Id # 1003390000
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
I
(Electrical Contractor Name)
(Address) (City)
have been contracted to perform electric installation work for
at the following address: It 09, ~q,
(State) (Zip Code~
(Name of party contracted to)
(Address where work will be performed)
The nature o£the work consists of: (Check One or Describe the Nature of Work)
~r Reconnect!on or new circuit for replacement Heating Ptant ~('~r MC Condenser.
Reconnectmn or new circuit for replacement Electric Water'S'eater or power vented
water heater.
__ Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due m siding ! soffit installation. Note: N'ew Service
Entrance Cables wilt require a separate permit.
Reeonnection or new circuit for the replacement of other pe~,entiy wired
appliances ! fixtures.
New circuit for the addition of A/C to an individual dwelling un# (house or 1he
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $ ~'~-~ .cg2
[ hereby redly this work will be performed by an employee of th/s company and further vc~fy
the reconnection / installation will b~ done ~n compliance with manu£ac:urer and Electric code
(Signature (~FCompany Officer) '-- (Priff~ Name of Officer) (Date)
5:02