HomeMy WebLinkAbout0111067 HOSHKOSH
ON THE WATER
.lob Address 1837 MITCHELL ST
Contractor AMERICAN HEATING & A C CO
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner RONALD E DONNER
Category 502- Residential-Both
Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
111067
10/13/2004
Other J
Vent J
Use/Nature
of Work
Replace furnace,
add A/C
Fees: Valuation
Issued By:
$4,200.00
Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$68.00
Date 10/13/2004
Parcel Id # 1217700000
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 1129 MICHIGAN AVE OSHKOSH WI 54902 -0 Telephone Number
235-8090
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.
2t ~ Chul~# ~w
Electric Installation Verification
The natm'e of the work consists of: (Check One or Describe the Natu~ of Work)
~.. Recmmection or new circuit for replaeameat Heating Plant and/or A/C Conctmser.
Recormection or new circuit for replacement Electric Water Heater.
....... Reco~mection of the Service Entrance Cable, Meter Box, alterations to rec~:,cles arid
lighting fixtu~ due to siding / soffit installation. Note: New Servic~ £n~ce
Cables will require a separate permit, t ,
Recozmection or new circuit for other permanently wired applian,:es / fixtures.
Other
' The value of this work is $ ]50.0° ~.
I hereby verify this worf~ will be per%treed by an employee of this company and further veri~ the
teconnection / installation will b,. cionc in compliance with manufactu~*r and Electric code
teomremems.
(Sig~ :.~r&rnpa~y Officer)
(Print Name of Offioer)