HomeMy WebLinkAbout0116025-HVAC (furnace & a/c)
~
OSHKOSH
ON THE WATER
Job Address 845 GROVE ST
CITY OF OSHKOSH
No
116025
HVAC PERMIT -APPLICATION AND RECORD
Owner
SHIRLEY L EVANS-GUSSERT
Create Date 08/30/2005
Plan
Contractor ANDRESEN SHEET METAL
I,{I Gas I I Oil
Fuel
System [7] New I
~ Forced Air U Radiant
I Electric
I I I HotWater
Chimney Type K) Chimney A () Chimney B
Heat Loss K ) As Approved . Existing
BTU Rate K ) As Per Pian ( ) Variable
Category 502 - Residential-Both
I,{I Electric
I I Solar
I I Solid
[7] Replace
U Steam
n Other
~ AlC I U Vent
I I Con. Burner I
() Not Applicable
I I Suppl.
. Direct Vent
() Not Applicable
. Other
Value
Value 60000 / 2T
Use/Nature FRI Replace furnace and add AlC, install 3" chimney liner, EIV provided by Seckar Elect.
of Work
$4,000.00
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$65.00
Issued By:
Date 08130/2005
D Permit Voided I
Parcelld # 1105870000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongiy urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
2913 WITZEL AVE
OSHKOSH
WI 54904 - 6539 Telephone Number
(920) 233-0323
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number, Unless specified otherwise, we will assume the projec1 is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
FROM: SECKAR ELECTR I C
J~~ 07 02 0$:458
FAX NO. : 9202313950
Qshko~h \n$p.Ct'on~
Jul. 12 2002 A9: 54PM Pi
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Electric Installation Verification
11811 íC)rý~A i'f fu( .~Ç-Th (ý co f..C1.C--.
6~z.o C()uf!-j!v'EY PWþY'1At:--¡¿: f,D,I)J¡¡JrJe-w¡v¡ùë IAJ/
(A<idreU) (City) (State) (Zip Coð~)
haYO ~~comracœd to perfonn electric installation work for AND V?-ESe:rJ rS.H€1?( J!'1.ff,A-L..
ÇNuncoÏp~y~n~œdt~
at1hefoUo",iugaddrese-.: fib (i'£ðtl£-
(Address wi=: work will be pmonned)
...n
!he natu:t= o£thc woß,,~/$ of: (C"_k One or Describe the N"tur~ of Work)
~econr¡eQtiQ".'or new circuit for rep1a.ó_ent He.u:ng P1ant a:ldJor AlC CondeI1s.er.
Roço 11eotlon or new circuit for replacement El~ Water HeatCl' or power vented
water Woat~.
:R.oecmne<:tion of the Service Eutttnee Cab.\<:, :!.feter Box, alteration. to 'recoptacleo
and Uglrtins ¡;xb¡,rC:s due to sidinll/80ffit Íl\5ta\lation. Noto: Now Set'\'icc
EutranC! Cable. will requite " s~parate pemút,
J1..ecMZ eet1on <rr new .:\!cuit for the replacement of other permanently ",~red
app1i:mc..1 fixture;,
New wcwt fi:>r the additiøn of AlC to an individual dw.l1I~g "";1 (hous. or the
individual systems in. duplex or condominium), including required service
e!couicaj oll!1e/$,
Other
.-----------
Th<I vaJuHfthJs work is 5 :2 J{;' -0-0
I hereby ver'.fy thîs wor!< wul be perfcnned by an emplo~'ee oifuis company and furJwr verify
the ncon,,~iíon.l installation wi1l b. done in cO!ilp1i¡! èe wi:h ma::-.uf"ct'~rer "-'1d El..ctrÎc coè,è
require...""'..
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(Sign81'\l'" of Company Of!1c",-)
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(Print Name of Offi=)
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