HomeMy WebLinkAbout0116553 H
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OSHKOSH
ON THE WATER
Job Address 644 MONROE ST
CITY OF OSHKOSH
No
116553
HVAC PERMIT. APPLICATION AND RECORD
Owner
ROSS D RESOP
Create Date 09/29/2005
Plan
Contractor MARTENS HEATING & COOLING
I I Oil
Fuel I"'¡ Gas
System M New I
~ Forced Air U Radiant
I I Electric I I Hot Water
Chimney Type K) Chimney A () ChimneyB
Heat Loss K ) As Approved . Existing
BTU Rate K) As Per Plan ( ) Variable
Category 502 - Residential-Both
¡...¡ Electric
I I Solar
I I Solid
M Replace
U Steam
n Other
I I Suppl.
. Direct Vent
~ AlC I
I I Con. Burner I
( ) Not Applicable
U Vent
( ) Not Applicable
. Other
Value
Value
Use/Nature ßFR/ Replace furnace and install new AlC, install 4" chimney liner - EIV provided by HOME OWNER
of Work
Fees: Valuation
$5,300.00
Plan Approval
$0.00
Permit Fee Paid
$84.50
Issued By:
Date 09/29/2005
0 Permit Voided I
Parcelld # 0406070000
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
PO BOX 106
WAUKAU
WI 54980 -106
Telephone Number
920-685-0111
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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O{t!~Q(H
Offi,,' 920.236.5050
F", 920.236.5084
Electric Installation V erificatlon
I (We) ._.!1()s~_ile SQJQ----_. ,
(print homeowner(s) name)
the bomeowner(s) of .f¿'f1~Q_t;¿__-----------
(address where work is to be performed)
accept the responsibility for perfonning the electrical work as stated below for the property listed
above.
The nature of tile work consists of: (Check One or Describe the Nature of Work)
~RecOJmection or new circuit for replacement Heating Plant andlor A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Recolli1ection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtUTes due to siding I soffit instaJJation. Note: New Service
Entrance Cables will a separate pemlÎt
Reconnection or new for tbe replacement of other pennanentIy wired
I fixtures.
for the addition orA/C to 311 individual dwelling unit, including
service electrical outlets. Note: Homeowners can only do their own
on a singlefamily owner occupied home, Work on a condominium,
duIYlex, rental, or multi-use buildinr< would require a licensed master
electrician.
Other
-.---.----
---.---- -.-------
The value ofthis woik is $df)f2_~ 0 -'
this work will be
be done in
by me and further verify the reconnection I
with manufacturer and Electric code requirements.
-.---- I!~~
HomeoW11er(s) Signature
qJ1{)J DŠ
--"(ú~te)
5/02