HomeMy WebLinkAbout0113446-HVAC (furnace)
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
113446
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1015DURFEEAVE
Owner
JAMES J GROFF
Create Date 04/13/2005
Contractor ANDRESEN SHEET METAL
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/ Install new furnace - No Chimney liner being installed, EIV provided by Slims Elect.
of Work
Fees: Valuation
$2,200.00
Plan Approval
$0.00
Permit Fee Paid
$38.00
Issued By:
Date 04/13/2005
U Permit Voided 1
Parcelld # 0607180100
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
2913 WITZEL AVE
OSHKOSH
WI 54904 - 6539
Telephone Number
(920) 233-0323
---
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.
! ;PR-l1-20O5 ". 08'25 PH
FAX NO.
P. 01/01
". - -
0& ,lIyofOobl<iII1I
DI>ioIoDotl..,....so.6<fYk<l
",a-hA-
PO 110" 1>0
" o.""'WlJ."J.mo
""'" O2Oo"MO'"
P.. 9>M36-JOI.
Electrl~ lostaitatlou Vèrlfteatlon
r (We)
SLIM'S ELECTRIC INC.
(Electrical ContractorNIIm~)
2608 Oakwood Circle Oshkosh WI 54904
(Address) . (City) (State) (Zip Code)
have boon contraetedto pcrfonn electric iniliallalion work for Andresen Sheet Metal ~.
(Name of party conlraclC(\ to)
al tIle following addrcsa:
1016 Durfee St
(Addrose wlJore work Will be peJfbnned)
---'
. I
The nallU'O of tho wodc CXI \$ists of: (Cheek 0.\0 or Doacrlbe the Naturo ofWoJt)
L ROCXInnecl!on or new citouit for replacement Hoatins Plant and/or NC Condonscr.
- Reconnection or now circuit for roplooement Electrio Water Heater or power vantod
wilier hearer. .
~..,_.. R,OCXInnection of the Service Entrante Cable), Melot Box. alterations to receptacles
wid IightJn8 fiXIUrCSd\l~ to sidblg/ soffit ll18tallation. Noto:..NowScrvicc
Enuance Cables will requ.lro a Scpàralo permit.
-- Reconnect!on or new circuit for tho replacement of other pennlll\ontly wired
appllunccs J f1xlUrCs.
- New circuit for tho addition of AlC 10 an tndMdual dwelltng Unit (house or the .
individual syslems in a duplex or condðminium). includillg requIred service
olect.dcal outlets.
- Othc:r
Tho value of this wodc is $ 125.00
] hereby verley this work will be porfonnod by an employco 01 this company ani! further Yerify
tho rOCXlnnoellon I installation will be done in complianco with manufactum' and Blectric code
roqulre II.
David A. Younawirth
(PrIn1 Name of Officer)
04/06/05
(Date)
M)2
. ..-..- - ----- --...- -.
. .. -. .--.. -, .-.
7~ . ~ ¡A¿ ,Þrvt)~¡tJ-<- JÓU ,<J~tdd. /U~u 'ZÞcJ