HomeMy WebLinkAbout0116554 H
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OSHKOSH
ON THE WATER
Job Address 533 SCHOOL AVE
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
116554
OWner
JOHN DIMARY L MCCOURT
Create Date 0912912005
Plan
Contractor MARTENS HEATING & COOLING
1 I Oil
Fuel 1 I Gas
System M New
U Forced Air U Radiant
I I Electric I I HotWater
Chimney Type K) Chimney A ( ) Chimney B
Heat Loss K ) As Approved ( ) Existing
BTU Rate K ) As Per Plan ( ) Variabie
Category 501 - Residential-Air Conditioning
1'-1 Electric
D Repiace
U Steam
I 1 Suppl.
I I Soiar
I I Soiid
n Other
() DirectVent
~ AlC I
I I Con. Burner 1
. NotAppiicable
U Vent
. NotAppiicable
. Other
Value
Value
UselNature FRf install new AlC - EiV provided by HOMEOWNER
of Work
Fees: Valuation
$2,036.00
Plan Approval
$0.00
Permit Fee Paid
$36.50
Issued By:
Date 0912912005
D Permit Voided I
Parcelld # 0201250000
In the performance of this work, I agree to perform all work pursuant to ruies governing the described construction.
Whiie 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 appiicant to contact the easement
holder(s) and to secure any necessary approvals before starflng 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 Inspec1ion 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.
~ ,.
Fe> 92G.236-5O'4
InstaUatiol.1 Verification
I (We )-_!J ~___£Xílc.. ---. . C..a. -~. . ------'--- -
--J (print homeowner",) name)
the homeowner(s) of -_5-~--_._£~c¿~-QßL..----------
(álddress where work is to be
accept the
above.
for perfonning the eJeclrica] work as stated below for the property listed
The nature ofthe work consists of: (Check One or Desclibe the NatUTe of Work)
Reconnection or circuit for replacement Heating Plant and/or A/C Condenser.
Recollnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Recormection of the Service Entrance Cable, Meter Box, alterations to
and fixtures due to siding / soffit instalJation. Note: New
Entrance wm a separate pennit.
Reconnection or new for the replacem.ent of other pem¡anentJy wired
/ fixtuJes.
New for the addition of AIC to 001 individual dwelling unit, including
required s<;rvice electrical Ol,Ülets. Note: Homeowners can only do their own
electric on a owner Work on a condominium,
rental, or building would require a licensed master
Other
-------------.-----
.--
----------.--..-----------
The valu~ of this work is $_.0{ DO..!.. ðO --..'
I hereby verify this work will he
installation wiIJ he done in
by me and further verify the reconnection /
with manufacturer and Electric code requirements.
~r
-1>-9 - 2..1. - ð .5-
(Date)
5102