HomeMy WebLinkAbout0112360-HVAC (furnace)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
112360
HVAC PERMIT - APPLICATION AND RECORD
Job Address 19 E NEW YORK AVE
Owner
RICKY A BARBIAN/B SCHOONOVER
Create Date 01/19/2005
Contractor AMERICAN HEATING & A C CO
1,(1 Gas 1 1 Oil
Fuel
1 1 New 1
System
l..j Forced Air U Radiant
1 1 Electric 1 1 Hot Water
Chimney Type () Chimney A 0 Chimney B
Heat Loss 10 As Approved 0 Existing
BTU Rate 10 As Per Plan 0 Variable
Category 500 - Residential-Heating & Ventilating
Plan
1 1 Electric
1,(1 Replace
1
1 1 Other
1 U Vent
1
1 1 Solar
1 1 Solid
U Steam
1 1 Suppl.
. Direct Vent
U A/C
1 1 Con. Burner
0 Not Applicable
. Not Applicable
. Other
Value
0
Value
Use/Nature Replace furnace, 75 MBTU. Install 3" chimney liner * Seckar Electric.
of Work
Fees: Valuation
$3,600.00
Plan Approval
$0.00
Permit Fee Paid
$59.00
Issued By:
Date 01/19/2005
U Permit Voided 1
Parcelld # 1 003550000
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
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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.
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Electric Installation Verification
(I) (We) c5£;c..1cAe aEc:nelc. c.o}lt.PAfJ~, IIJ~
(£Iectrical Contractor Name)
setzo C()vJ~:1ttJf?'( f(.Vþ."'~ to, lIJ,tJtJE:CO~ WI Sc.('te"
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for A/IIef!.ICkN H-eArIÅl6
(NUne ofpany contracted to)
/? £;(ktu {¡~j¿ AIL.-
(Address where worK win be perfonned)
at the following address:
The nature of the work consists of: (Check One or Describe the Nature of'Worlc)
X Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
RecorUtection or new circuit for replacement Electric Water Heater.
= Reconnec:tion of the Service Entrance Cable, Meter Box, alteratioN to ttcêp':.<:lès ana
lighting fixtures due to siding / soffit installation. Note: New Servk~ SntÎ'âîlce .
Cables will require a separate permit. I
- Reconnection or new circuit for other permanently wired applia......:es / fi)(tUtes.
Other
The value ofl.hi~ work is $ /50.0 (>
-
¡ hereby veri fÿ this work will be per~.)rmed by an employee of this company and further verify the
reconneclioll / installation will to'- done in compliance with manufactUrer and Electri<: code
reQuirements,
k~~tL.
(Sìgl":;..ure .fCompanyOfficer)
J2Jfr¡.X¿ í!... &a.J.A~.
(Print Name of Officer)
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