HomeMy WebLinkAbout0113215-HVAC
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
113215
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1012 E SUNNYVIEW RD
Owner
ROBERT B BROWN
Create Date 03/30/2005
Contractor RASMUSSEN'S HEATING & A/C INC
1,(1 Gas 1 I Oil
Fuel
1 I New I
System
l..j Forced Air U Radiant
1 I Electric 1 I Hot Water
Chimney Type () Chimney A . Chimney B
Heat Loss 10 As Approved . Existing
BTU Rate 10 As Per Plan 0 Variable
Category 502 - Residential-Both
1,(1 Electric
Plan
1 I Solar
1 I Solid
I
1 I Other
I U Vent
I
1,(1 Replace
U Steam
1 I Suppl.
l..j A/C
1 I Con. Burner
0 Direct Vent
0 Not Applicable
0 Not Applicable
. Other
Value
0
Value
60,000
Use/Nature SFR/ Replace furnace and A/C, install 3" flexiliner - EIV provided by Slim's Elect.
of Work
Fees: Valuation
$5,644.00
Plan Approval
$0.00
Permit Fee Paid
$90.50
Issued By:
Date 03/30/2005
U Permit Voided I
Parcelld # 1560020000
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
5154 DAVID DR
OSHKOSH
WI 54904 - 8850
Telephone Number
920-235-6569
---
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.
e~.. t-:F"....: s -
~ 10--
~ -----
---
1iIIt--
Eleetrie IDstaJladon Verifieadon
I (We)
S/i/1ll'~ E/cotrK
. (Electrical ConD:actor Name)
:;¿~ð8 Qð.kw.",,1 ~ Oshkosh Lv \ 5~?()L{
(Addœss) (at}') (State) (Zip Code)
bavebeen contracted toperformelec1rie iDsIaDPtioo workforR~s"'\Jss~",ls H\iA c- .
(Name of party çontracted to)
at the foDowiDg addœss:
/0/;) E SUnl1YvíöV
(Address where work wiJl be performed)
The uature of the work consiSts of. (Çheck One or Describe the Nature of Work)
- ~ or new eiø:uit ibr ~ Beatiøg Plant l1JIj JJor AlC Coødeøser.
- RÞcoDrJecâoø or new eiø:uit for repIaceIneIIt E1ecIIiø Wat« Heater or power vented
water heater. "
- Rec:omteçfion of the Serripe Bntnatce CabJe. Meter Box. a1temIicms to œceptac1es
anè1 JightiDg fixtures due to sidiDg I soffit iosteJJI'tJ"IIL Note: New Service
Bntr8Dce Cables wiD œquire a sepamte permit.
. - ~1I'di0l1 or new eiø:uit ibr 1he øpJøcemeat of odJm' ~ wired
. app:liallces I fixtures. .
\/' New cin:uit ibr the addiIion of AIC to 811 intlMt1rml dwelling 1I1Iit (house or the
iDc1i1I'iduaI"S)'II8IIriD a dapJ8It Of: ~..,,;..:.~ iueIuding JeqUirecl serrice
e1ectrical outJeIs.
Other
Theva1ueofthisworkis$ '156. Of)
I hereby verify this work wiD be performed by 811 employee of this company and ñu1her verify
the ~ I iDsIaIJatio.o wiJl be. cfœe in compJiance with ~ and Blec1ric code
~¡;JAI="/)J '3 ~~ f'"Ó 5
(Pñut NaIIIc of . (Date)