HomeMy WebLinkAbout2005-HVAC (furnace, a/c)
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
114865
HVAC PERMIT - APPLICATION AND RECORD
Job Address 703 VIOLA AVE
Owner
DONALD M KNOBLAUCH
Create Date 06/24/2005
Contractor CUSTOM HEATING & COOLING
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 0 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
0 Direct Vent
. Not Applicable
. Not Applicable
. Other
Value
0
Value
Use/Nature Replace furnace and A/C, add air filter. * Hoehne
of Work
Fees: Valuation
$4,150.00
Plan Approval
$0.00
Permit Fee Paid
$68.00
Issued By:
Date 06/24/2005
U Permit Voided 1
Parcelld # 1220310000
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
1503 SOUTH MAIN STREET
OSHKOSH
WI 54902 - 0
Telephone Number
(920) 235-7263
---
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.
. .
~
°-1!Q£H
City ofOsbkosh
IJ;.;sion on_ion Senne"
215 Chwcb Avenu,
POBox 1130
OsbkoshwI54903.1130
OIr"" 920-236-5050
Fax 920-236-5084
Electric Installation Verification
I (We) f!6<d-hpe E' I~d IZ " C-;
(Electrical Contractor Name)
!J¡LJ,/lò <-
w,5
(Address) (City)
(State) (Zip Code)
have been contracted to perfonn electric installation work for Q.., ó ~ðð-^-- +--\~¡; \~,
(Name of party contracted to) d
at the following address:
Îõ?7" Ut~Ä
(Address where work will be perfonned)
The nature of the work consists of: (Check One or Describe the Nature of Work)
~ Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection 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 fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate pennit.
Reconnection or new circuit for the replacement of other pennanently wired
appliances / fixtures.
- New circuit for the addition of AlC to an individual dwelling unit (house or the
individual systems in a duplex or condomiuium), including required service
electrical outlets.
Other
The value of this work is $ c"5m ~
I hereby verifY this work will be perfonned by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
/l ". t(."
{J/ll+;-s Ai ;;/112
(print Name of Officer)
G/J-t h~
(Date)