HomeMy WebLinkAbout0115727-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
Job Address 325SARATOGAAVE
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
115727
OWner
JOANNE M ROTH REV TRUST
Create Date 08/11/2005
Plan
Contractor AMERICAN HEATING & A C CO
1"1 Gas 1 1011
Fuel
System PI New 1
U Forced Air U Radiant
1 1 Hot Water
I Electric I
Chimney Type K) ChlmneyA () ChlmneyB
Heat Loss K ) As Approved . Existing
BTU Rate K) As Per Plan ( ) Variable
Category 502 . Residential-Both
1"1 Electric
1 1 Solid
1 I Solar
PI Replace ~
U Steam I
1 1 Suppl. I
n Other
~ AlC 1
I 1 Con. Burner 1
U Vent
. DirectVent
( ) Not Applicable
( ) Not Applicable
. Other
Value
Value 75000
2.5T
Use/Nature r:;FRI Repalce furnace and add 2 T /C - EIV provided by Seckar Elect
of Work
Fees: Valuation
$5,200.00
Plan Approval
$0.00
Permit Fee Paid
$83.00
Issued By:
Date 08/11/2005
D Permit Voided I
Parcelld # 1008260000
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
AgenUOwner
Address
1129 MICHIGAN AVE
OSHKOSH
WI 54902-0
Telephone Number
235-8090
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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Electric Installation VerificatioD
(I) (We) ~r:: £2.ëc:-ne./c. Cf)JtltPNJ~1 I fJc..
(£Iecmcal Contractor Name)
B'120 COtJ~'þ\JFf fC,.Vþ."'~ ~, lAJ,tJrJtrCOftJ/IJE WI Sl.("~"
(Address) (City) (State) (Zip Code)
have been contracted to pertorm electric installation work for A1tJ.e'Ii!/C/r1J H-eArIAltÞ
(Name of party contracted to)
? z.S- ,)19/<t9-l-o~
(Address where work 'n be performed)
at tne following address:
The nature of the work <.:onsists of: (Check One or Describe the Nature of'Work)
X ReccLlnection or new circuit for replacement Heaûn¡ ptant and/or AlC Condenser.
- Recormection or new circuit for replacement Blectric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, attentions to re<:ep/:.cles
- lighting fixtures due to siding I soffit installation. Note~ New Sèrvir~ Èritråhce
Cables will require a separate permit. /
- Recormection or new circuit for other permanently wired apþlia:..:es I fixtures,
Other
The value ofthi~ work is$ IfSD.oo
-
I hereby verify this work will be perrJrmed by an employee afthis company and further verify the
reconnecÜon / installation will to'. done in compliance with manufactUrer and Eli!ctric cooe
reQ\!irements.
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(Print Name ofOfñce-r)
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