HomeMy WebLinkAbout0114701-HVAC (furnace; a/c)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
114701
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1212 W 10TH AVE
Owner
JAMES R/JANET M DUBORD
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 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
Use/Nature SFR/ Replace furnace, install 3" chimney liner, and add A/C - EIV provided by Van Ert Elect.
of Work
Fees: Valuation
$3,900.00
Plan Approval
$0.00
Permit Fee Paid
$63.50
Issued By:
Date 06/16/2005
U Permit Voided 1
Parcelld # 1307800000
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
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10: 02 FAX 920 766 0883- .-----YàN ERT ELECTRIC
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O~hkosh Inspeotions
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Electric Installation Verification
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Vr2,^ f,.,;,
¡;)p-f'.+rìc..
(Electrical Contractor Name)
2ÖOD ~5~!U v.Ja..y /(ð.....ko.u.",ø. ~ 51./ 13õ
(Address) (City) (State) (Zip Code)
have been contracted to perfonn ",¡"ctne instal1atiDn work for A/I ~,,~""'.. #..oÃ\~ i Cui", ,
(Name of party cont acted [0)
12/2 I;) /o./f:J
(Addre,;s .wher.e y.'ork wiJl,~~ perfOlmed)
The. nature of the wp';k co~Si~t;s of;' (Check b¡;~or D~scribê th~ Nat!;e
at the following addr"ss:
L
Reconnection or new circuit for replacement H""-ting Plant and/or AlC Condenser.
Reconnection or new circuit for replacement Eiectnc Water Heater or power vented
water heater.
Reconnection ofthe S"¡-vice Elltrance Cable, Meter Box, alterations to receptacles
and lighting fixmres due to siding /soffit in'~tal¡ati()n.Note: New Service
Entrance Cabl",s wi!! require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtlUes.
New circuit fOT the addition of AlC to an individUlZI dwelling uni! (house or the
individual systems in a duplex or condominiuro), inducting required service
electrical outlets.
Olher
The v"Jue of this work is $
I 2ð eJ:.
I hereby verify this work will be performed by an employee ofthis eompanyand [111'1her verify
.he recmmcction,l inst~llation will be done Ìn compliance withma.nufaeturer and Electric code
req "írcm tnts.
~~L J?øJ"Jf øJ.n.." r
(Sig"ature cf Comp"ny Officer)
£: r[,' J}.Ì...",~. ...
(Print Name 'Gf Officer)
4f1oS'
( ate)
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01/18/.05
TUE 13:52
[TX/RX NO 9198J