HomeMy WebLinkAbout0115281-HVAC (a/c)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
115281
HVAC PERMIT - APPLICATION AND RECORD
Job Address 2555 OLD ALEX CT
Owner
THOMAS E WICKERSHAM JR/LEAH J
Create Date 07/19/2005
Contractor MARTENS HEATING & COOLING
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 Add A/C. 'Owner doing Electric.
of Work
Fees: Valuation
$2,400.00
Plan Approval
$0.00
Permit Fee Paid
$41.00
Issued By:
Date 07/19/2005
U Permit Voided 1
Parcelld # 1381490000
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
PO BOX 106
WAUKAU
WI 54980 -106
Telephone Number
920-685-0111
---
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.
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OIHKO/H
ON TH' W^,"
C;tyofOshkosh
Divis;"" oflusp",Üon S'rvòo"
215 Church Avon",
PO Box 1130
Oshkosh WI 54903-11 30
oro" 920-236-5050
F>x 920-236-5084
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Electric Installation Verification
MwC'~/:?/
(print homeowner(s) name)
the homeowner(s) of ./ss;:-s::- OLÞ AJ¿;x éT"-.
(address where work is to be performed)
accept the responsibility for performing the electrical work as stated below for the property listed
above.
The nature of the work consists of: (Check One or Describe the Nature of Work)
)L
Reconnection or new circuit for replacement Heating Plant and/or AIC 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 permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of AIC to an individual dwelling unit, including
required service electrical outlets. Note; Homeowners can only do their own
electric on a singlefamily owner occupied home. Work on a condominium,
duplex, rental, or multi-use building would require a licensed master
electrician.
Other
The value of this work is $ :29í:JLJ. é)O
I hereby verify this work will be perfonned by me and further verify the reconnection /
installation will be done in compliance with manufacturer and Electric code requirements.
~~~
Homeowner(s) Signature ------
ø~s
(Date)
5/02