HomeMy WebLinkAbout0111074-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1803 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
Radiant
Hot Water
Owner MICHAEL J ARPS
Category 500- Residential-Heating & Ventilating
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
~ Existing
~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
111074
10/13/2004
Other J
Vent J
Use/Nature
of Work
heating plant, line chimney.
Fees: Valuation
Issued By:
$6,561.00
Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$104.00
Date 10/13/2004
Parcel Id # 1503610000
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.
City of Oshkosh
Division of Impection Services
?.0, Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/I--KO/'H
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not he processed.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commenoing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
~£gou are a contractor participating in the Permit Fee,Account System and have adequate funds, cheek her~
if vou want this processed through your account []
JOB ADDRESS
OV~NER gA t
CONTRACTOR
CItECK ~ ALL APPLICABLE
USE CATEGORY
t~tSingle Family ElDuplex
EIMulti-Family
SERVICE nNew
F1Change
r'lTemporaty
I:lNot Applicable
EIRental VICommercial nlmdustrial
TYPE F1Overhead Ellqot Applicable
V1Underground
PILL IN THE APPROPRIATE BLANK V~[TH THE NUMBER
Volts ~ ~ o / ~ t o Receptacles #
Phase ~
Amps Switches #
Circuits #
Fixtures #
CHECK [~ ALL APPLICABLE
[]Range DDishwashcr F1Garbage Disposal
I-tF~in OR Blower t~tFumace l~dC
VIMotors FtGas Pumps nOther
DDryer
F1Etectric Sign
DESCRIPTION OF ALL WORK BEING DONE
FlWater Heater
VALUE (Including labor and all materials including light fixtures) $ o~-0.0 o
MASTER ELECTRICIAN ~-er~: ~,',-~ ~'v j ) ~'*'C~
3102