HomeMy WebLinkAbout0111068-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 348 W 12TH AVE
Contractor AMERICAN HEATING & A C CO
Fuel [~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air
Electric
Oil
Radiant
Hot Water
Owner SALZER SIDING INC
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
111068
10/13/2004
Other J
Vent J
Use/Nature
of Work
Replace furnace,
line chimney with 4" liner.
Fees: Valuation
Issued By:
$2,400.00
Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$41.00
Date 10/13/2004
Parcel Id # 0903760000
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.
Electric Installation Verification
(Electrical Contractor Name)
(Address } (City) (State) (Zip Cod~)
have been contracted to pertbtm electric installation work fur ~ A/ /T~' ~J~ , ~
(N~e ofpar~ contract~ to) ' ~
(Address where work will be p~formeti)
at the following address:
Thc natm-e of the work consists of:
(Check One or Describe the Nature of Work)
Reco~mection or new circuit for replacement Heating Plant and/or A/C CondUCt.
Recormection or new circuit for replacement El~tric W~ Heater.
Recozmection of the Service Entrance Cable, Meter Box, alteratio~ to tecep~leS
lighting fixtures due to siding / soffit installation. Note: New set. icc
Cables will require a separate permit.
Recormection or new circuit for other permanently wired applian,:es / fixtur~i
Other
I hereby yeti fy this work will b~ p~formcd by an employee of this company and funher v~ the
reconnectiox~ / installation will b'~ clone in compliance with manufacturer ~nd Electric code
(Print Nm~e of Of~c~r) (Dat%} ~