HomeMy WebLinkAbout2002-HVAC (furnace; a/c)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
668 W 4TH AVE
TENTH STREET STATION INC
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
No
98454
[] Gas 1 J J Oil I
[] New
Forced Air J ~ Radiant
Electric I ~- Hot Water
Chimney Type ~ Chimney A ~ Chimney B
Heat Loss ~ As Approved O Existing
BTU Rate ~.~ As Per Plan O Variable
Owner GEORGE F OAKS JR
Category 502- Residential-Both
~ Electric I
[] Replace
~.J Steam I
L~ suppl. I
O Direct Vent
~ Not Applicable
~I Other
[] Solar
[~ A/C
Create Date 11/06/2002
Plan
1 ~ Solid
[] Other
J~ Vent
[~- Con. Bumer 1
Value
Value
Not Applicable
75m heat & 2 ton a/c
Use/Nature SFPJ Replace furnace and add new a/c. *EIV form from Drexler Electric.
of Work
Fees: Valuation
Issued By:
$4,006.88 Plan Approval $0.00 Permit Fee Paid
r-- Permit Voided
$66,50
Date 11/06/2002
In the performance of this work, I agree to perform all work pursuant to roles governing the described construction.
Signature Date
Agent/Owner
Address 924 OHIO STREET OSHKOSH WI
54902 - 0 Telephone Number
236-8770
City of Oshkosh
Division of Inspect/on SersSc~s ~..
P.O. Box 1130
O$1~cosh, WI 54903-1130
P~ (920) 236-5050 .
F~ (920) 236.5084 ~..
OF~ .
HVA~ PERMIT APPLi~A~ON
~ ~fo~fion after ~M ca~gOfics ~ be pw~ded.
hco~iete a~iicaflo~ ~ not be ~cesscd.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspect/on Serv/cea,
Oshkosh WI 54~03-1128. Conunenc/ng work w/thout pa~m/t(s) w/Ii result in fees being doubled
normal permit fee, wh/ch ever is great~.
OR
t u want fbi r c e rou ou~ace u I
CEEECK El ALL APPLICABLE
USE CAT~GORY
~Single Family ClDuplex D~ulti-Family
I-IRenta~ .~mercial 13I~:
FUEL ~li~as CIElectri¢ l'lgolid SYSTEM
~Oil ~Sol~ ~ .......
~orcedAir D~t ~S~m ~C DV~t DElec~c
' . ' p ~eB~s~ingvent~d.
~~ ~E ~i~ey A ~i~cy B ~rcct V~t
~AT LOSS ~ Ap~v~ ~isting ~Not A~li~b]c
B~ ~ ~ P~ Plan DV~ble ~O~r Value _~ ~ ,/~ .....
_ale,. ., . . ,
FIHot Wate~ [2Suppl. I~.
VALUE (lecladlng l, bor aaa all materiab including light fixtures) $ ¥. '00(,. ~6 ~"Ct~'
ELECTRICAL CONTRACTOR ~ .... .
· attached, If not attached or not appl,¢able, a separate El;ctrical permit is re~C~iVED
OCT.
DEP, I TMENT 0r
COMMUNITY DEVELOPMENT
21:t OJ~'ch A~eme
, Offd~mhWl ~49~3-1130
Electric Installation Verification
(~le,~u;cal Contractor Name)
(city) (state) (Zip code)
have been contracted to perform electric installation work fo~ ~"rf~l" ~.
{'Name of party contracted to)
at the following address: ~ ~ c,~, L[-t'/~ ~ .
(Address where work will be performed) '
The nature of the work consists of: (Check One or Describe the Nature of Work)
~ Reconnecfi°n or new circuit for replacement Heating Plant and/or A/C Condenzer.
~ Reconncction or new circuit for replacement Elcctric 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.
_..___ Reconncction or new circuit for the replacement of other permaneatly wired
appliances / fixtures.
· .~ New circuit for the addition oI'A/C to an individual dwelling ~ntt (home or the
incl/vidual systems in a duplex or condominium), ~ncludlng required service
electrical outlets.
------ Other
The value of this work is $
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requ~emcnts.
(Signature o~Company Officer)
(Print Name of Officer)
(Date)