HomeMy WebLinkAbout0115990 H
.
GSHKOSH
ON THE WATER
Job Address 70 LAKE REST AVE
CITY OF OSHKOSH
No
115990
HVAC PERMIT -APPLICATION AND RECORD
Owner
JERALD D STEINER
Create Date 08/29/2005
Plan
Contractor DRUCKS PLUMBING & HEATING CO IN(
I Gas 1 I Oil
Fuel I
System 0 New 1
U Forced Air U Radiant
1 1 Electric I 1 Hot Water
Chimney Type r) Chimney A e) Chimney B
Heat Loss r) As Approved e ) Existing
BTU Rate r) As Per Pian e ) Variable
Category 501 - Residentiai-Air Conditioning
1"1 Electric
n Replace
I 1 Solar
1 I Solid
n Other
U Steam
I I Suppl.
e) Direct Vent
~/lJC I
I I Con. Burner I
. NotApplicabie
U Vent
. Not Applicable
. Other
Value
Value
Use/Nature FR/ Install /lJC - EiV provided by Heritage Eiectric.
of Work
Fees: Valuation
$3,450.00
Plan Approval
$0.00
Permit Fee Paid
$57.50
Issued By:
Date 08/29/2005
0 Permit Voided I
Parcel Id # 1417080000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easemen~ the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
PO BOX 355
MENASHA
WI 54952 -355
Telephone Number
921J-426-2654
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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Electric.lostanation Verification
(I) (W.>
f./I!f4IM<..11'" ~ c.
(EJeçaical Ccmrac:tOt Nunc)
720 w
(.Addres$)
W,r;1"1Å .4v.
~/Lk
ity)
/.s,
(State)
.r1lJ, IY
(Zip Code)
have beer1 ~tcd to pedbrøt o1cetriç ÌDIIal1aûon worlc for () r" ~ It J
(N1I1M ofputy COIUI'aCted to)
at tbe followiD¡ 1ddrcs8:
70
CAlf;ti I2ø.r
(Addreø where wont win be perbmed)
. The I:IatIft of~ consilii of; (ChccIc One or Describe the Nature ofWQd:)
.¿- Reccnmec:âon Or DeW c:i.rcuic fur rep1acCIDÞ:IIU Heatìna Plant lDIdIor AIC Co1lda1$er.
- R.econneo:I:ion or new cin:uit for replaçement Bhlettic W.. Heater.
- ROI:OIHIeCtioIl of the Sc:rvi~ Entrance Cable. Met« Box, a1teratioN co receptllC1ca IDe!
UgbtiøS ti¥tUm due to siding I soffit ûutallation. Note: New Service ElltraDce
CabJca will require . separate permit.
- ~on en new cin::uit for other penn&DelJtly wiI'8(f tppliMc:ca I fixtw'c8.
Othar
TbevaluoofthiswQd:isS 200.0 :1
I hereby verify this wont will be perl'onlled by M employee oftbia ~y and tùrther mfy the
ft ÇO¡D ec:tion I installation win be done in compliance with manuf!aetutw aII4 Eleçttic *e
~II.ÌRmCIIUI.
qfj¿L~
ý}'J,H.l ,eJ".,-
. (Print Name orOfticet)
?-ZI-c?,¡-
(Dale)
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