HomeMy WebLinkAbout0114446 H
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
114446
HVAC PERMIT - APPLICATION AND RECORD
Job Address 201 KNAPP ST
Owner
LARRY L KOPLITZ
Create Date 06/03/2005
Contractor AMERICAN HEATING & A C CO
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 502 - Residential-Both
1,(1 Electric
Plan
1 1 Solar
1 1 Solid
1
1 1 Other
1 U Vent
1
1,(1 Replace
U Steam
1 1 Suppl.
l..j A/C
1 1 Con. Burner
. Direct Vent
0 Not Applicable
0 Not Applicable
. Other
Value
0
Value
75,000 2T
Use/Nature SFR/ REplace furnace and A/C - EIV provided by Seckar Elect.
of Work
Fees: Valuation
$4,500.00
Plan Approval
$0.00
Permit Fee Paid
$72.50
Issued By:
Date 06/03/2005
U Permit Voided 1
Parcelld # 0607180000
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
1129 MICHIGAN AVE
OSHKOSH
WI 54902 - 0
Telephone Number
235-8090
---
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.
Electric Installation Verification
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(1) (We) $.fc.A~ aëq)e/c. c.Dfr/t.f>PcNY, I Nc..
(£lectrical Contractor Name)
ff1zo COv~TtV~ ftv~¡J.~ ro, fA),tJtJ£"Cf)~ WI Sc.{'~~
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for ðMet!/C/r1lJ H-e1rr1AJ6
(Name of party contråcted to)
2ð ~Ad{£: ~(t: work ~u be perfonned)
at the following address:
The natUre of the work >:onsists of: (Check One or Describe the Nature of Work)
.ls::' RecoLlnection or new circuit for replacement Heatin¡ Plant and/or AlC Condenser.
RecorUlcctíon or new circuit for replacement Electric Water Heater.
== Reconnection of the Service Entrance Cable, Meter Box, alterations to recep'~cles and
lighting fixtures due to siding I soffit installation. Note: New Servir~ Entrance
Cables will require a separate permit. I
- Recolmection or new circuit for other permanently wired applia<:.:es / fixtures.
Other
The value ofl.hi~ work is $ /50.00
-
I hereby veri ¡y this work will be peT~Jrmed by an employee of this company and l'urther verify the
reconnectlion I installalion wil1 1:0'- done in compliance with manufactUrer and Electric code
feQ\!Ìrements.
(!>::~;.t:§~ 00,«)
J2.Jfr,ve I?. &.Ett:-A¡¿.
(Print Name of Officer)
s-hllor
. (Dlite)