HomeMy WebLinkAbout0116107-HVAC (furnace & a/c)
G
OSHKOSH
ON THE WATER
Job Address 1611 MARICOPA DR
CITY OF OSHKOSH
No
116107
HVAC PERMIT. APPLICATION AND RECORD
Owner
DORAN E/HELEN L RYAN
Create Date 09/06/2006
Plan
Contractor PREMIUM AIR INC
I~I Gas I I Oil
Fuel
System n New
~ Forced Air U Radiant
I Electric
I I I Hot Water
Chimney Type K) Chimney A () Chimney B
Heat Loss K ) As Approved . Existing
BTU Rate K) As Per Plan ( ) Variable
Category 502 - Residential-Both
I~I Electric
I I Solar
I I Solid
P1 Replace
U Steam
I I Suppl.
n Other
. Direct Vent
~ AlC I
I I Con. Bumer I
( ) Not Applicable
U Vent
( ) Not Applicable
. Other
Value
Value
Use/Nature ~FRI Replace furnace and AlC - Elv provided by Premium Air Inc - No chimney liner being installed -Where an appliance is penmanently
of Work isconnected from an existing chimney or vent (CN), the CN shall be resized as necessary to control flue gas condensation in the interior
þf the CN and to provide the appliance or appliances seNed with the req. draf
Fees: Valuation
$5,555.00
Plan Approval
$0.00
Permit Fee Paid
$89.00
Issued By:
Date 09/06/2005
D PenmitVoided I
Parcelld # 1319430000
In the perfonmance of this work, I agree to perfonm 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 pany, 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 before starting such activity.
Signature
Date
Address
N3225 HWY 15
AgenUOwner
HORTONVILLE
WI 54944-0
Telephone Number
920-982-3323
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.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
AUG :5 1 2005
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O~J;i~QtD
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ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If vou are a contractor vartlclvatlnf! In the Permit Fee A;count System and have adeauate funds check here
dvou want this vrocessed throuf!h vour account D
DATE
x .:J.G¡ -as
JOB ADDRESS II" II ;!/\ðV ~c...:) P-'»
OWNER 1)" v "Y' ~ '1"'V'
CONTRACTOR 7"'°",,1 ,,(to-, -AIr> o~ *-'-~
CHECK ø ALL APPLICABLE
USE CATEGORY
jL!:Single Family
SERVICE DNew
þ.change
DDuplex
DMulti-Family
DRental
DCommercial
Dlndustrial
DTemporary
DNot Applicable
TYPE DOverhead
DUnderground
]¡ Not Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
DRange
DFan OR Blower
DMotors
DDishwasher
~umace
DGas Pumps
DGarbage Disposal
-'8AI C
DOther
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WO~EING DONE
~~1('1'~7 <D<,'c;çJ~ ,,,,,¡'OJ).- 41«1(~
VALUE (Including labor and all materials including light fixtures) $ ';;;5 '55 .<:>0 ' .:Þ...k°(s-"-'
MASTER ELECTRICIAN 1)¡.evy\'¡~,~ Ao'<)nu - O~ ~ 6-
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