HomeMy WebLinkAbout0111288 HOSHKOSH
ON THE WATER
.lob Address 672 JEFFERSON ST
Contractor CUSTOM HEATING & COOLING
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 ALVIN R JONES JR
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type lC) ChimneyA ~) Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
111288
10/26/2004
Other
Vent J
90000
Use/Nature SFR/Replace furnce - No Chimney Liner being installed - EIV provided by Hoehne Elect.
of Work
Fees: Valuation
Issued By:
$3,600.00 Plan Approval $0.00
Permit Fee Paid
Permit Voided J
$59.00
Date 10/26/2004
Parcel Id # 0402680000
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 1503 SOUTH MAIN STREET OSHKOSH WI 54902 -0 Telephone Number
(920) 235-7263
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.
Div~ion oflns~on Servlc~
(We)
Electric Installation Verification
(Address)
(Electrical Contractor Name)
have been contracted to perform electric installation work for
at the following address:
(City) (State) l[Zip Code)
(N of party contracted to) ~
(Addres~ ~vhere work will be performed)
The nature of the work consists of: (Check. One or Describe the Nature of Work)
~e~tion or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnecfion or new circuit for the replacement of other permanently wired
appliances / fixtures.
__ New circuit for the addition of A/C to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The yalue of this work is $.. ,/~-~ ~ .
I hereby verify this work will be performed by an employee of this company and further verify
the reennnection / installation will be done in compliance with manufacturer and Electric code
requirements.
-~'4~{~e of~'oompany O~fi'~er)
V~Print Name of O~ficer)