HomeMy WebLinkAbout0112630 H
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
112630
HVAC PERMIT - APPLICATION AND RECORD
Job Address 10230HIOST
Owner
JANICE SCOTT
Create Date 01/27/2005
Contractor A-1 HEATING & A/C INC
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 . 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
0 Not Applicable
. Other
Value
0
Value
60000
Use/Nature SFR/ Replace furnace, EIV provided by Bell Electric - NO CHIMNEY LINER BEING INSTALLED---
of Work
Fees: Valuation
$1,536.40
Plan Approval
$0.00
Permit Fee Paid
$129.00
Issued By:
Date 02/09/2005
U Permit Voided 1
Parcelld # 1303540000
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
W8078 HILLCREST CT
HORTONVILLE
WI 54944 - 0
Telephone Number
920-779-8838
---
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.
91/2412009 SAT 7: 43 FAX 1 920 733 2713 WATTERS PLUMBING
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Electric Installat1oh Verification
L,./I 5"r~S2..
(5"'le) (Zip Code)
hsJVè been CnlllrDctt'<l In perroI'm electric inotallation work for ""..Lid tl:t!I/::!f:L~._~,
(Name of party COnlracted to)
31 the following address: /0"3 ð~lì ,jT ¡J<)l;ko)t¡ ;:]'&iM;~ s.ø'f-r .3. JS-),Sft"J
(Addrm where work wîJI be p~rfonned)
1 (We) -/Lf.1k_...K"!::1-"'¡ '- ~_.
(Electrical Contractor Name)
II $---1d.<I>1UiJ¿'e,
(Cily)
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_._-'!.:c!.:. ÆO)(
(Address)
The nature of II Ie work conBis(~ of, (Che~k One or Describe tbe Nature of Work)
- V Rccol1¡\\1Çtjorl or new cil1:ult tor repJace.rnent Healing Plant and/or AIC Condenser.
- Reconnection or new Circuit for repla~emcn! Electric Water }foater or power yented
waler heater.
-..-. Recoltnecllon () 'tbc Service Enrrll/lce Cablo, Mc:ter Box, .lt~lion8 to ~Cl! !tacl08
Iffid lighllng fixturcs due to siding I BOa-it .inSlaUalion. Note: New Sorvlce
Entrance Cables wm require a sepDra~ pennit.
-- Rcconncction or IIOW circuit for tile replacClTlent of other PClYllll!\ently wired
appJilll1ecs I fixtures.
-- New circllit for the addition of Alt to 9n ;ndi'Vidual dw~lIllIg unit (house or the
individual systems in II duplex or condominium), including required ~ervice
elcctrical outlets.
- Othc,
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-.-..-.
The vallie oflhis work is $...-.....-.
-...-.-..-..:.......-............,-..----.....-.----
¡ herehy verify this work will he perf(ll'lned by sn employee alibis company and further verify
Ih~ rte()Uncctio I installation wHl be done in compliance wit~ manufacturer IUIQ Electric code
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