HomeMy WebLinkAbout0111071-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 2327 JEFFERSON ST
Contractor E C MERRILL 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 CHRISTINE WOLDT
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
111071
10/13/2004
Other J
Vent J
Use/Nature
of Work
Replace furnace.
Fees: Valuation
Issued By:
$2,574.00
Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$44.00
Date 10/13/2004
Parcel Id # 1517030000
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 1018 W SOUTH PARK AVE OSHKOSH WI 54902 - 0 Telephone Number
(920) 235-3600
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.
OCT~ ?.~04 l:38PM NITZKE ELECTRIC
Electric Installation Verification
(Zip Cede)_
('Nme o~p~ con~ct~ m)
(A~ess wherJ Work will be p~o~)
have been contracted to perform electric installation work for c..h.~1%
the fbllowing address:
7he niiture oft. he work consists of: (Check One or Describe the Nature cf Wo, rk)
,,,~K~oo~ection or new cffouit for r~l~ement Heating Pl~t ~or ~'C Conde~en
~_ ieco~ec~on or n~ c~uit for r~pl~em~nt El~c~c W~er Hea:~ or pewer wntcd
w~er hea~.
Reco~ec~on of~ Semf~ ~nm~ce C~1% Meter Box, alterati~ to rec~ticles
~d ~t~ fix~re~ due to sid~ / soffit in.dilation, Note: New S~ice
Bn~'~ce Cables will require ~ s~at~ pemit,
~ Ke~ec~on or n~w clro~t for tM r~lac~t o~ otMr pe~e~tly w~ed
~ New c~cuff for ~e ~diflon of ~'C to ~ m4i~d~ ~l~i~ ~it (hous~ or the
individ~ s~t~ in a ~uplex or tender,m), ~ct~ mq~red se~ic~
O~er
The value of fl'lis work is $ ,~ ~__.~.
I hereby varify this work will be peffon'ned by an ~mployea of ~is company ~nd £'urth~r verify-
the mcormection / installation will be ~ne in ¢ornpli~a¢ with m~ufacturer ad Electric cede
requir~'n~nts.
(Signature of Company O£iicer)
(lb'iht Nm'nc of Officer)