HomeMy WebLinkAbout0115680 H
e
OSHKOSH
ON THE WATER
Job Address 554 MOUNT VERNON ST
CITY OF OSHKOSH
No
115680
HVAC PERMIT -APPLICATION AND RECORD
Owner
JAMES F/CATHERI LECLAIRE
Contractor CUSTOM HEATING & COOLING
Fuel U Gas 1 1 Oil
System ~ New 1
U Forced Air U Radian~---1
1 1 Electric I 1 Hot Water .--J
Chimney Type U Chimney A (lçhimney B
Heat Loss K ) As Approved .._.0 Existing
BTU Rate K) As Per Plan U Variable
Category 501. Residential-Air Conditioning
Create Date 08/09/2005
Plan
1"'1 Electric
n Replace
lli~
1 I Suppl. 1
I 1 Solar
~<!.------.J
n Other-
~ AlC I U Vent
1 I Con. Burner 1
()DirectVent
e Not Applicable
e NotApplicable
e Other
Value
Value 36,000
Use/Nature FRilnstall central air EIV provided by Hoehne Elect
01 Work
Fees: Valuation
$1,800.00
Plan Approval
$0.00
Permit Fee Paid
~_. $32.00
Date 08/09/2005
Issued By:
D Permit Voided I
Parcelld # 0402770000
In the performance 01 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 01 which it is not a party, if you perform the work
described in this penmit application within an easement, the City strongly urges the penmit applicant to contact the easement
holder(s) and to secure any necessary approvals belore 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.
e
OSHKOSM
ON THE WATER
Job Address 554 MOUNT VERNON ST
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
No
115680
Owner
JAMES F/CATHERI LECLAIRE
Create Date 08/09/2005
Plan
Contractor CUSTOM HEATING & COOLING
I 1 Oil
Fuel I 1 Gas
System PI New I
U Forced Air U Radiant
I I Electric 1 I Hot Water
Chimney Type K) Chimney A C) Chimney B
Heat Loss K ) As Approved ( ) Existing
BTU Rate K ) As Per Plan ( ) Variable
Category 501 - Residential-Air Conditioning
I 1 Solar
I I Solid
1"'1 Electric
n Replace
U Steam
I 1 Suppl.
n Other
~ AlC I U Vent
1 1 Con. Burner I
. Not Applicable
() DirectVent
. Not Applicable
. Other
Value
0
Value 36,000
Use/Nature ßFRllnstall central air EIV provided vy Hoehne Elect
01 Work
Fees: Valuation
$1,800.00
Plan Approval
$0,00
Permit Fee Paid
$32.00
Date 08/09/2005
Issued By:
D PenmitVoided I
Parcelld # 0402770000
In the perfonmance 01 this work, I agree to perform all work pursuant to rules governing the described construction.
While the City 01 Oshkosh has no authority to enforce easement restrictions 01 which it is not a party, il you perform the work
described in this penmit application within an easement, the City strongly urges the penmit applicant to contact the easement
holder(s) and to secure any necessary approvals belore 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!9£H
City orO,bkœh
Division onoopecûon Sttvice,
215 CI...reh Avenoe
PO Box 1130
Q,bk",hWI54903-1130
Oo¡.,. 920-236-5050
Fax 920-236-5084
I (We)
Electric Installation Verification
¿~
(Electrical Contractor Name)
t?~
(Address)
(City)
(State)
(Zip Code)
have been contracted to perfonn electric installation work for
(Name of party contracted to)
at the following address:
(Address where work will be perfonned)
The na~ork consists of: (Check One or Describe the Nature of Work)
- Reconnection or new circuit for replacement Heating Plant and/or NC 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 NC to an individual dwelling unit (house or the
individual systems in a duplex or condomiuium), including required service
electrical outlets.
Other
..-'b
The value of this work is $ ~
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.
d ~.
'//1+) s A 1 /1/112
(print Name of Officer)
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