HomeMy WebLinkAbout0115288 H
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
115288
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1925 JACKSON ST
Owner
LOWELL H KALMERTON
Create Date 07/19/2005
Contractor MARX MECHANICAL
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 512 - Ind. & Comm-Both
1,1"1 Electric
Plan
1 1 Solar
1 1 Solid
1
1 1 Other
1 U Vent
1
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 Office A/C with 15T, exact replacement. (Witzke)
of Work
Fees: Valuation
$9,000.00
Plan Approval
$0.00
Permit Fee Paid
$140.00
Issued By:
Date 07/19/2005
U Permit Voided 1
Parcelld # 1218920000
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
4535 STATE ROAD 91
OSHKOSH
WI 54904 - 6304 Telephone Number
920-235-6510
---
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.
'. ,
JUL. 8.2005
3: l3PM
WITZKE ELECTRIC.,
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Electric Installation Verification
~Iì 1-zk~¡ec+riG ~C.
(Electrical Contractor Name)
155 E. "Pa.c.k.er AveJ)u.~ {)shk..oSh WI- 54-10 r
(Address) (City) (State) (Zip Code)
have been contracted to perform elecmc installation work for J4arK J4(JjllYltJJá lJ
(Name of party contracted to)
atthefol1owingaddress: AM 6-4J ~ 19M ~£¡yœ6
(Address where work wil! be performed)
I (Vole)
The nature of the work consists of: (Check One or Describe the Nature of Work)
X Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
- Reconnection or new circuit for replacemoot Eleotric 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 pe=it.
- Reoolmeotion or new circuit for the replacement of other pe=anently wired
appliances / fixtures.
- New circuit for the addition of NC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets,
- Other
The value of this work is $
/O3(NJO
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
~,"-"'","",,ûo~.
(Signature of Company Officer)
~' fY\ a \ \;...
(Print Name of Officer)
?!~tJ5
(Date)