HomeMy WebLinkAbout0116621-HVAC (furnace)
.~.,
OSHKOSH
ON THE WATER
Job Address 213 BALDWIN AVE
CITY OF OSHKOSH
No
116621
HVAC PERMIT. APPLICATION AND RECORD
Owner
MICHAEUCHERYL BOOTH
Create Date 10/05/2005
Plan
Contractor RASMUSSEN'S HEATING & AlC INC
I 1 Oil
Fuel 1"'1 Gas
System n New I
l."'I Forced Air U Radiant
I I Electric 1 I Hot Water
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 Electric
~ Replace
U Steam
1 I SuppL
0 Solid
D Other
U AlC I U Vent
I 1 Con. Burner I
( ) Not Applicable
I I Solar
() DirectVent
( ) Not Applicable
. Other
Value -----'>
Value 60000
Use/Nature FRI Replace furnace, install 3" chimney Liner, - EIV provided by Slim's Elect.
of Work
Fees: Valuation
$3,120.00
Plan Approval
$0.00
Permit Fee Paid
$53.00
Issued By:
Date 10/05/2005
D Permit ~~
Parcelld # 1003450000
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
AgenUOwner
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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EJeetrie IøstaIIatioB Verifieatlon
I (We) S/il'n'~ EJc»tr1<...
. (BlecIzica1 CoDtractDr Name)
ad,ð8 06.k....-I. CÆ Oshløsh
(.Adc1M8) (City)
lv' S<¡f()4
(Slate) (Zip Code)
havebeenro.oll:~toper.foJmeleetdc~wo.dtfor 'R"'SÞI,-,sSC""5 l-I\tAc....
(Name of party COJ1fnICted to)
.;213 ßc..\J"',HV)
(Addœø8 whcœ work wiJ1 be performed'
TIle JJ8IDre ofthewmk CODIIÍIÍIB oJ: (Çbeck One or Desmibe the NIIbUO ofWodt)
/ ~ ŒDØW oin:uit iJncp'n----.-BealiøgPlaDt.wor AIC CøDdeøser.
- ~ orDeW oin:uit ... repJøcaneut E1ccbic Wat« Beater or pøwer vented
..... --- '
- ~.v~--ofthe Scnico.~ CahIIt. Máa' Bœr. ,-".¡t¡'.... to reœp1acles
aaìI Ji&Wiø8 Jix-. .... -, 8CdIt~ Nate: New Service
-- C8hIIB will...... a ...... pamit.
, - ltIeoI.-... ŒDØWcBuit"'.u..~ afødø' ,.....-....¡dy wired
: wH-' :fixbaIIIL
- New ciIœit fiII'" ...... of AIC tD 8ft ~..L.'" "-'Ibrt:" o-se oC the
idILiiu81:... iøadllp18E_..-..I. . .. ;). ;""'¡"uling1'elpliølcl8llß'ice
eIecIñaaJ oøtIeIL
- Other
at the tbIIowiøg aðdœ8ø:
. ,
1'JJe value of this wudt is S õ<. OC . 00
I heøby veriiÿ this wGIk will be ~ by 8ft e:IIIpIo)w of this eompaoy and fiu1ber verify
the~edicml ÍIIIII8DØIiOJ1 wiD bec1œem compJiancewith JDIØ"'&'~ aøc1 EIedtric code
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(PJiItx.-Gf . (Dam)