HomeMy WebLinkAbout0114700-HVAC (furnace)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
114700
HVAC PERMIT - APPLICATION AND RECORD
Job Address 3013 SHADOW LN
Owner
GERALD/SADANO SALZER
Create Date 06/16/2005
Contractor ALL SEASONS QUALITY HTG & CLG
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 . 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
0 Other
Value
0
Value
Use/Nature SFR/ Replace furnace, install 3" chimney liner, add A/C - EIV provided by Van Ert Elect
of Work
Fees: Valuation
$6,500.00
Plan Approval
$0.00
Permit Fee Paid
$102.50
Issued By:
Date 06/16/2005
U Permit Voided 1
Parcelld # 1519626400
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
3698 VINLAND RD
OSHKOSH
WI 54901 -0
Telephone Number
920-426-8090
---
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
06/09/05
_0-
,
10: 03 FAX 920 766 0883
VAN ERT ELECTRIC
1i!J003
Jan 18 05 12:S?p
OShkosh Inspeotions
920-236-5084
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Electric Installation Verification
E.1~c. +r-¡ c...
(ElectricaJ Contractor Name)
2ÖOD p,.Q<5~:;o..s IJ.Ja..y ¡¿o..L.l.kQ.Ll~Q,. W:t.. SV /30
(Address) (City) (State) (Zip Code)
have b~~n contracted to perform c1ectric instal1ation work for All :u,O<OIll S JiecJ.¡~ll.l~QaJ '(>.,
(Name ofproty conlractcd to)
I (We)
Va.~ E,.+
at the renewing address:
3013 ;).hoÀ611..I Ln..V\L
(Address where work wí1l be performed)
The nature ofthe work Mnsists of: (Check One Or De$cribe the Nature of Work)
.JL
Recannection or new circuit for replacement Heating Plant and/or NC Condenser.
RecOJmection or nl!>W circuit for replacement Electric Water Heater or power vented
water heater.
. Recanncction afthe Service Entrance Cable, Meter Box. aIterations to receptacles
and lighting fixtures due to siding J spflit installation. Note: New Service
Entrance Cables will require a separate p..nnit.
Recannectìon or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of AlC to an individual dwelling ",nit (house or the
individual systems in a duplex or condornirium). including required servic~
electrical outlets.
Other
Th~ value 0[I11i5 work is 5;
IZr. .<!:!!2.-
) hereby verify lhis work wiJ! be performed by an employee aft.I:1is company and further verify
rhe recoru1ec1ion ( installation wiJI be done in compliance with manufacturer and Electric code
reqc¡iremcnls.
~:. ~~" Çk.ru.f ;J"'ift?"
(Signatur of Company Officer)
ðr/c.. Wv-~
(Print Name "fOffic",,)
¥~~
( ale)
;102
01118/05
TUB 1~:.2
{TXlRI NO 9198J