HomeMy WebLinkAbout0099113-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
766 W 10TH AVE
RASMUSSEN'S HEATING & NC INC
L~J Gas I
[] New
~_J Forced Air J
~ Electric J
L-J Radiant
I IHotWater
Chimney Type O ChimneyA ~1~ ChimneyB
Heat Loss ~ As Approved O Existing
BTU Rate ~ As Per Plan (,~ Variable
Owner MARK A SCHOENICK
Category 500 - Residential-Heating & Ventilating
b~ Electric
[] Replace
~j Solar
L~ Steam I LI Nc J
~ Suppl. I M Con. Bumer
Direct Vent O Not Applicable
~ Not Applicable J
0 Other
Value
Value
No
Create Date
Plan
[] Other
60m
99113
12/17/2002
Solid t
Vent I
Use/Nature SFR/Replacement furnace. *EIV form from Slim's Electric.
of Work
Fees: Valuation
Issued By:
$3,553.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided I
, $59.00
Date 12/17/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 5154 DAVID DR OSHKOSH WI 54904 -8850 Telephone Number
920-235-6569
City of Oshkosh
Division of Inspection Services
P.O- Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to lnsp~tion Services, PO Box 1128,
Oshkosh WI 54903-1128. Common,lng work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If l, ou are a contractor participating in the Permit fee Account System.and have adequate_funds., check here
if ¥O,U want this processed through your ,account ~
JoB ADDRrSS
DATE.., .]~ - ! O .-O ~.
Ci:lF. CK [] ALL APPLICABLE
USE CATEGORY
[~Single Family F1Duplex
EIMulti-Family
F1Rental
F1Commercial
l-IIndustriaI
FUEL ~as ViElectric FISolid SYSTEM
ViOil FISolar
TYPE
[J~Forced Air FIRadiant F1Steam FIA/C I"lVent F1Electric
IS CItlMNEY BEING LINED VINo I~l,Yes - LINER SIZE
Note: All chimneys shall be s/zed per the BTU's being Vente&
CItlMNE¥ TYPE ElCMmney A [~himney B
I~g. AT LOSS FIAs Approved I~Existing
BTU RATE I-IAs Per Plan ~Vafiable
VINew
F1Other
V1Hot Water U1Suppl.
& MANUFA~
ElDirect Vent ElOthcr
[2Not Applicable
.Oth r Value
I~Replace
FICon. Burner
DESCRIPTION OF ALL WORK BEING DONE.
VALUE (Ineluding labor and all materials ineluding Hght fixtures) $ ~ ~' ~ ~ ~
ELECTRICAL CONTRACTOR ~ (~ ~'.5 ~'l.e_~-'},'cc._
a~tmcFO~r ap. pl.i.c~l.e proj_ect~,_ an E.lec~..c Installation ver~.ficafion fo.rm, s/gned by the Electdcal Contractor, must be
nea. tt no~ attached or not applicable, a separate Elec~rical Permit is requ/red.
Electric Installation Verification
I (we)
(Blectrioal Contractor Name)
~C;o$ o~.~:,,,~A c.r ....
(.~-ess) ·
(City) (State) (Zip Code)
~e ofp~ con~act~ to)
(Ad~ ~ wo~ ~ be p~~)
have been contracted to p~gorm electric installation work for
at the following address:
The nature of the work eomi~ off
(.Check One or Describe the Nature of Work)
~n or new ~ for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtm~ due to sidin§/soffit ~fio~ Note: New Service
R~on or new ciroeit for the replacement of other permanently wired
appliances / fmures.
New circuit for the addition of A/C to an ~ ~././b~ ~i~ (house orth¢
iaiiivlg~! 'system~in a d~alex or e~lldm~i~m}, inclugin§ requh-cd ~xvice
The value of this work is $, ]~0
tho recxmnection / imdallafion will be done in cmlapliance wilh ~ and Electric code