HomeMy WebLinkAbout0116548-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 825 HARBORVIEW CT
CITY OF OSHKOSH
No
116548
HVAC PERMIT -APPLICATION AND RECORD
Owner
JEFFREY AlCHARL HUDSON
Create Date 09/29/2005
Plan
Contractor RASMUSSEN'S HEATING & AlC INC
I I Oil
Fuel I~ Gas
System n New ~
~ Forced Air U Radiant
I I Electric I I HotWater
Chimney Type U Chimney A ( ) Chimney B
Heat Loss K ) As Approved . Existing
BTU Rate K) As Per Plan ( ) Variable
Category 500 - Residential-Heating & Ventilating
I I Solar
'l\ I I Electric
[lõI Replace
U Steam
I I Suppl.
. Direct Vent
I I Solid
Q.2!t'~~
U AlC I U Vent
I I Con, Burner I
( ) Not Applicable
( ) Not Applicable
. Other
Value
Value 80000
Use/Nature FR/ Replacement furnace - EIV provided by Owner
of Work
Fees: Valuation
$2,680,00
Plan Approval
$0,00
Permit Fee Paid
$45,50
Issued By:
Date 09/29/2005
0 Permit Voided I
Parcel Id # 1524420000
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
Agent/Owner
Address
5154 DAVID DR
OSHKOSH
WI 54904 - 8850 Telephone Number
920-235-6569
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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OIHKOfH
ON 'HeW","
CityofO,bkœh
Dimioo ofIœpoctioo S,~io"
215 Chw-oh Av,nu,
PO Box 1130
O,bko,h WI 54'03-1130
Office 920-236-5050
Pox 920-236-5084
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Electric Installation Verification
:Ie.çç 1-\"c1&on
(print homeowner(s) name)
the homeowner(s) of
8~ Ho,ybo,.v,""\J Ct.
(address where work is to be performed)
accept the responsibility for performing the electrical work as stated below for the property listed
above.
The nature of the work consists of: (Check One or Describe the Nature of Work)
X Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of AlC to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric on a single family owner occupied home. Work on a condominium,
duplex, rental, or multi-use building would require a licensed master
electrician.
Other
The value of this work is $
50.00
I hereby verify this work will be performed by me and further verify the reconnection /
installation will be done in compliance with manufacturer and Electric code requirements.
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