HomeMy WebLinkAbout0113721-HVAC (a/c)
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
113721
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1930-1936ALGOMA BLVD
Owner
THOMAS RITERI K KARRELS
Create Date 04/27/2005
Contractor RASMUSSEN'S HEATING & AIC INC
1,(1 Gas 1 1 Oil
Fuel
1 1 New 1
System
U 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 511 - Ind. & Comm-Air Conditioning
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
l..j AIC
1 1 Con. Burner
0 Not Applicable
0 Not Applicable
. Other
Value
0
Value
5ton
UselNature Replace AIC (1936 Algoma)* EIV from Witzke Electric Inc
of Work
Fees: Valuation
$2,840.00
Plan Approval
$0.00
Permit Fee Paid
$48.50
Issued By:
Date 04/27/2005
U Permit Voided 1
Parcelld # 1213490000
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
AgentlOwner
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.
APR. 27.2005
8: 16AM
WITZKE ELECTRIC
NO.2.!1~.,?C7155""
~ dtyot'o.-
£~:-
Electric Installation Verification
I(We) \NirneJ EJeorriú Inc..
(Electrical Contrllctor Name)
155 Ë. '"Pa.~ AI/(!J)l1e.... Oshk..osh w.r. &ft1ol
- (Address) . (City) (State) (Zip Code)
hIIve been contracted to perfonn eleC1ric installation work Corl?r/JdIlI((';/I ~1t
(Nameofpartycon actedto)
lit the following address: tñm ;/turd'S ~ /t/.3/, JlJ~tn'lJ¡1, ~I/d.
(Address where wo k will 'be performed)
The natuTe of the work consists of: (Check One or Describe the Nllture of Work)
...If Reconnecrion or new circuit for replacement Heating Plant and/or NC Condenser.
- Reconnecrion or new circuit for replacement Electric Water Heater or power vented
water heater.
- Reconnection of the Service Entrance Cable. Meter Box, alterations to receptacles
and lighting fix,tures due to siding I soffit installation. Note: New Service
Entrance Cables will rcquire a separate perInit.
- Reconnection or new circuit for the replacement of other permanently wired
appliances I fixtures.
- New circuit for the addition of NC to an Individual dwelling unit (house or the
individual SystClDS in a duplex or condominium), including required service
electrical outlets.
Other
ThevalueofthisworkisS /61),()Ò
I hereby verify this work will be performed by an employee oftbis company and further verifY
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
'"3"':'~ é'ìO~
(Signature of Company Officer)
'Î.' fY\ () \ \:..
(Print Name of Officer)
t/-3.?,1)5
(Date)
'/1)2