HomeMy WebLinkAbout0116209-HVAC
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OSHKOSH
ON THE WATER
Job Address 1003 MICHIGAN ST
CITY OF OSHKOSH
No
116209
HVAC PERMIT -APPLICATION AND RECORD
OWner
RICHARD W CZARNIECKI
Create Date 09/09/2005
Plan
Contractor AMERICAN HEATING & A C CO
1"1 Gas 1 1 Oil
Fuel
System 0 New I
~ Forced Air U Radiant
1 I Electric I 1 Hot Water
Chimney Type K) Chimney A ( ) Chimney B
Heat Loss K ) As Approved . Existing
BTU Rate K ) As Per Plan ( ) Variable
Category 500 - Residential-Heating & Ventilating
1 1 Electric
I!"I Replace
U Steam
I 1 Suppl.
1 1 Solar
1 I Solid
. Direct Vent
Q..<Jther
U AlC 1 U Vent
I 1 Con. Burner 1
() Not Applicable
( ) Not Applicable
. Other
Value
Value 75000
Use/Nature FR/ Replace furnace - EIV provided by Seckar Elect - NO Chimney liner being Installed - Where an appliance Is permanently
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
pf the CN and to provide the appliance or appliances served with the req. draft,
$2,600,00
Plan Approval
$0.00
Permit Fee Paid
$44.00
Fees: Valuation
Issued By:
Date 09/09/2005
0 Permit Voided I
Parcelld # 1300290000
In the per/oomance of this work, I agree to per/oom 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 per/oom the work
described in this permit application within an easement, the City strongly urges the peomit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity,
Signature
Date
Agent/Owner
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 Verification
(1) (We) ~e Ð..Cc.1)e/c. UJ,,^PP<NY, (Nc..
(Electrical Contractor Name)
EI12C> COJI.:1N~ fLvþ."'~ tc, w,tJ,JeCO,JNr; WI 5'l~'
(Address I (City) (State) (Zip Code)
have been contracted to perjonn electric installation work for t/llet!IClrAJ H-e1'rr1AJ6
(Name of party contractéd to)
/¿J¿;:J Æeh~(7» SI-:
. (Address where work 'n be perfonned)
at the following address:
The nature oftbe work ~onsists of: (Check One or Describe the Nature orWork)
X Recoonection or new circuit for replacement Heatins Plant and/or AlC Condenser,
Recofmectíon or new circuit for replacement Electric Water Heater.
= Reconnel:tion of the Service Entrance Cable, Meter Box, alterations to recêþt:.c1es alia
lighting fixtures due to siding I soffit installation. Note~ New Servk~ En!tåftce
Cables will require a separate permit. I
- Reconnection or new circuit ror other pennanently wired applia.....:es / fixtures.
Other
Thevalueofthi~workisS /50.00
-
I hereby verify this work will be per:Jnned by an employee of this company and funher verify the
reconnectioll / installation will to'. done in compliance with manufacturer and Electric code
reQuirement s.
k~ ~(tL.
(Sigt'::.,ur~mpany Officer)
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(Print Name ofOfñcer)
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