HomeMy WebLinkAbout0116546-HVAC (a/c)
"
~
OSHKOSH
ON THE WATER
Job Address 101710WAST
CITY OF OSHKOSH
No
116546
HVAC PERMIT - APPLICATION AND RECORD
Owner
ROBERT J STUEBER
Create Date 09/29/2005
Plan
Contractor RASMUSSEN'S HEATING & AlC INC
t t tall
Fuel t Gas
System n New I
U Forced Air U Radiant
t t Electric t t HotWater
Chimney Type U Chimney A ( ) Chimney B
Heat Loss () As Approved ( ) Existing
BTU Rate ( ) As Per Plan ( ) Variable
Category 501 - Residential-Air Conditioning
1"1 Electric
M Replace
t t Soiar
t t Solid
n Other
U Steam
t t Suppl.
~ AlC I
t I Con. Burner I
. Not Applicable
U Vent
() DirectVent
. Not Applicable
. Other
Value
Value
Use/Nature SFRI Replace AlC - EiV provided by Slim's Elect.
of Work
Fees: Valuation
$2,378.00
Plan Approval
$0.00
Permit Fee Paid
$41.00
Issued By:
Date 09/29/2005
0 PenmitVoided I
Parcelld # 0906550000
In the performance of this work, I agree to perform aU 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.
e~. w.-s
~ ...- .
oaœ -- --
----
---
EJeetrie lDstøDatIon VerifieatioD
I (We)
S/i/'YI'~ £JO'!1trK
. (B1eøIrlca1 QwtracImName)
ad,ð8 CM.k",.....1 ~ Oshtøsh
(.Adc1œ88) (Qty)
have been -macted to perJbnn eJecb:ic ÍJIIIf1.I1I<Itinn work for
lv' S<tlj()l./
(SI8I'e) (Zip Code)
'R"'SÞI<1SSc""':) H\/A c.... .
(Name of party COJ1t:racted to)
at the foJ)owiøg addø&s:
J 0/7 :¡:öwc,.
(Address where wœk wm be performed~
The JJatuIe of tho wodt COD8ÍIiIB o£ (Çbeck ODe or Describe tho NaIuro ofWOIk)
~ ....--... orDeW -- iIIr~ ØealiøgPJantaDd/or AlC Coødeøser.
- ~- or DeW -- forRp1~E1ecbic Wator Beatcr or power vented
WIlIer"""'"
- Ra. ~....;:œ. of the ~ BøIøaœ CahJ8. MeII1I' Box. """";. -10 reœptae1es
anilliøJIIiø8 -- «188."'" øøJIt~ Hate: New Service
lføII8IID8 c.w. wilt ..... a ....... pa:miL
, - b'4~"DeWcåœitfbr"RIþoI, -.-oføtJø!'""" ~wired
è .........' fimaa.
- New cbœit iIIr.. 8JiIioD of AJC to - ~L.. . tlrI/1Iø/Ji1Jg,.¡¡ (.bøuae «the
~-_. _aclll(llllt..~.. - ~~.~øerrice
eIedñcal oøtI8t8.
- 0Ibør
, ,
Theva1ue of this wodtisS d So. 00
I heirebyvetifythis wodt wilt be per.fiømed by an ~ of this eompaoy and fio1ber verify
the ~ ' iDsIaJIatioJI wilt be' cIane in compIiaace with ~-. aøcI Blec1ric code
~¿) ~-IÞIMdi 9.-;21-0-5
(PåIIt1flm8GfOBfaca) .' (Daœ)