HomeMy WebLinkAbout0114904-HVAC (a/c)
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
114904
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1922MINNESOTAST
Owner
WilLIAM C/HElEN AHRENS LIFE ESTATE
Create Date 06/27/2005
Contractor E C MERRill INC
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/Replace a/c. *EIV Witzke Electric.
of Work
Fees: Valuation
$3,411.00
Plan Approval
$0.00
Permit Fee Paid
$57.50
Issued By:
Date 06/27/2005
U Permit Voided 1
Parcelld # 1406660000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
1018 W SOUTH PARK AVE
OSHKOSH
WI 54902 - 0
Telephone Number
(920) 235-3600
---
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
JUN. 21. 2005
3:22PM
WITZKE ELECTRIC
NO. 952
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Electric I~staIlation Verification
I (We) \N~t~(e6I-riú J,..tìC'
(Electrical Contractor Name)
155 E. t>o..~ A<Jer,l1~ Osh~sh we
(Address) (City) (State)
have been contracted to perfO11n electric installation work for I)/;IZI?$
(Name of party contracted to)
&Þ1or
(Zip Code)
at the following address: 19;;;1 mmn¿f;()f¡[;
(Address where work will be performed)
The nature of the work coIJ5Ísts of'. (Check One or Describe the Nature ofWark)
K.. 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.
- Reconnectíon of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables win require a separate permit.
- Reconnection or new circuit for the replacement of other pmnanently wired
appliances / fixtures.
- New circuit for the addition of AlC to an i1!di.vldual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $
!J1,pfJ
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / imtallation will be done in compliance with manufacturer and Electric code
requirements.
'3.;~ 00~
(Signature of Company Officer)
-I.' r'\. a \ '\:..
(Print Name ofOfñcer)
~J/oS
(Date)
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