HomeMy WebLinkAbout0116706-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 501 DAKOTA ST
CITY OF OSHKOSH
No
116706
HVAC PERMIT - APPLICATION AND RECORD
Owner
JOSEPH A E SGHEFFKI/SUSAN M VAN
Greate Date 10/10/2005
Plan
Contractor MARTENS HEATING & GOaLING
Fuel 1"'1 Gas I 1 Oil
System n New I
I!:J Forced Air U Radiant
I 1 Electric 1 I HotWater
Chimney Type K) Ghimney A () GhimneyB
Heat Loss K) As Approved . Existing
BTU Rate K) As Per Plan ( ) Variable
Use/Nature
of Work
Category 500 - Residential-Heating & Ventilating
1 I Solar
1 1 Electric
[7] Replace
U Steam
I 1 Suppl.
LI Solid
0 Other
U AlG I U Vent
liGon. Burner I
( ) Not Applicable
. DirectVent
( ) Not Applicable
. Other
Value 0
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Value
FRI Replace furnace. add air filter and humidifier, install 3" chimney liner - EIV provided by Hoehne Elect.
Fees: Valuation
$3,860.00
Plan Approval
$0.00
Permit Fee Paid
$63.50
Issued By:
Date 10/10/2005
0 Permit Voided I
Parcelld # 0604170000
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
While the Gity 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 Gity 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~Q[H
CityofO,hko,h
Division nnnspecrion $eM.,.,
215 Choreb Aven..
PO Box 1130
OsIJI<oohW154903-mO
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
I (We)
/-kd/k-£/~~¿
. (Electrical Contractor Name)
- if/'3 /L lZ/Úèr
(Address)
/J /-¿ ð /Yllld
(City)
é'.ú ;' "5 <I?á S
(State) (Zip Code)
have been contracted to perfonn electric installation work for
(Name of party contracted to)
at the foHowing address:
(Address where work will be perfonned)
The nature of the work consists of: (Check One or Describe the Nature of Work)
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 I soffit installation. Note: New Service
Entrance Cables will require a separate pennit.
Reconnection or new circuit for the replacement of other pennanently wired
appliances I fixtures.
- New circuit for the addition of AlC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $
I hereby verify this work will be perfonned by an employee of this company and further verifY
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
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Ignature of Company Officer)
4 ¡¿ -L / ¡;~ Á/lC
(print Name of Officer)
(Date)