HomeMy WebLinkAbout0114699-HVAC (a/c)
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
114699
HVAC PERMIT - APPLICATION AND RECORD
Job Address 2017 SHERIDAN ST
Owner
SCOTT J/APRIL L PAULSEN
Create Date 06/16/2005
Contractor ALL SEASONS QUALITY HTG & CLG
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 0 Existing
BTU Rate 10 As Per Plan 0 Variable
Category 501 - Residential-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.
l..j A/C
1 1 Con. Burner
0 Direct Vent
. Not Applicable
. Not Applicable
. Other
Value
0
Value
Use/Nature SFR/ Install new A/C - EIV provided by Van Ert
of Work
Fees: Valuation
$2,300.00
Plan Approval
$0.00
Permit Fee Paid
$39.50
Issued By:
Date 06/16/2005
U Permit Voided 1
Parcelld # 1215430000
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
3698 VINLAND RD
OSHKOSH
WI 54901 -0
Telephone Number
920-426-8090
---
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.
~/09/05~3 FAX 920 766 0883 . - VAN ERT ELEÇTRIC
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Electric Installation Verification
I (We)
\j,. "" E ¡o.J.
F.lp.r.+rìc..
(Electrical ContractoT Name)
2oeD
(Address)
"Pro <3 'I"l"-.~,s
v.J a.y
1(a..L.lko.u.lI\Ø,.
(City)
()j ::t.
(State)
s~ /30
(Zip Cod~)
have been contracted to perfonr. electric insta\lation work for ,4 n $Q.o <;n 1"1 ~ HI';t1;h'"Q..-,
(Name Ofp"'¡1Y contracted t~)
rot'? <;;he..-;d r.. '^ ~+-.
(Address where work wi1I be performed)
at thc followi:1g address;
The nature of the work consists of: (Check On~ or Describe the Nature of Work)
.JL
Reconnection OT new circuit for replacement Heating Pl""t and/oT AIC Conden.ser.
Reconnection or new circuit for re¡;>lacement Electric Water Heater or pow",," ve!1~ed
water heater.
Reconncction ofthe Servi~e Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding i soffit installation. Note: New Service
Entrance Cables will require a separate petmit.
Reconnection or new circui~ for the replacement of other perm,mently wired
appliances / fixtu:es. .
New circuit for ~he additìon of AlC to an individ"a! dwelling unü (house or the
individual systems in a duplex or condominium), incbding requÙ"ed service
electrical outlets.
Other
The value of this work is $
1"°, ()O
I hereby veri fy 1his work wil1 be performed by an employee of this company and further verify
,be reconncction / in5t~llation wí1! be done in compliance with manufacturer and Rlcetnc code
requirements.
~ ~ ~~,~~?; &r;c W..~~
(Signature of ~mpany fficér) (Print Name of ffieer)
,,11 J ð~
{(plte)
;/1"
01(\6/05
TIrE 13;52
[TXlRX NO 9198J