HomeMy WebLinkAbout0116710-HVAC (furnace & a/c)
G
OSHKOSH
ON THE WATER
Job Address 2374 HAMILTON ST
CITY OF OSHKOSH
No
116710
HVAC PERMIT - APPLICATION AND RECORD
Owner
VATERlYIA M LOR
Create Date 09/28/2005
Plan
Contractor PREMIUM AIR INC
Fuel 1,(1 Gas 1 1 Oil
System n New I
l"J Forced Air U Radiant
1 I Electric 1 1 HotWater
Chimney Type U Chimney A C) Chimney B
Heat Loss K ) As Approved . Existing
BTU Rate K) As Per Plan C ) Variable
Category 502 - Residential-Both
1,(1 Electric
1 1 Solar
1 1 Suppl.
[I Solid
~
l"J NC I [J Vent
1 I Con. Burner I
C ) Not Applicable
PI Replace
U Steam
. Direct Vent
C ) Not Applicable
. Other
Value
Value 60000 2T
Use/Nature' FRI Repalce furnace and NC - EIV provided by Premiuum Aire Inc--NO CHIMNEY LINER BEING INSTALLED --Where an appliance is
of Work ermanently disconnected from an existing chimney or vent (CN), the CN shall be resized as necessary to control flue gas condensation in
he interior of the CN and to provide the appliance or appliances served with the req. draft.
Fees: Valuation
$7,148.00
Plan Approval
$0.00
Penmit Fee Paid
$113.00
Issued By:
Date 10/10/2005
0 Permit Voided I
Parcelld # 1214540000
In the performance of this work, I agree to perfonm 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 perfonm the work
described in this penmit application within an easement, the City strongly urges the penmit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
N3225 HWY 15
HORTONVILLE
WI 54944-0
Telephone Number
920-982-3323
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 perlormed within two business days from the time the project is ready.
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CÜyofO,hko,h
01,1,1", ofl>""""lon Smlce,
215 Chucch A"nu,
PO Bo, 1130
O,hkoohWI54903-1130
omce 920-236-5050
Fo< 920-236-5084
Electric Installation Verification
I (We)
'P~rnl".A-"Y) A,y---, In!' - 0 ne.. 4-owJ
(Electrical Contractor Name)
1;5'(,,'5 G¡ý".u!n Vc<-lLRï P-uf.
(Address)
éJ':; h I< oS "'-
(City)
WI
(State)
':5,,<1 D"'¡
(Zip Code)
have been contracted to perform electric installation work for \) a. t--v. Lo V'
(Name of party contracted to)
at the following address: :J. èFJ L - 4 D. m: I ~ t) Qv --€(I +
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
À-
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 permit.
Reconnection or new circuit for the replacement of other permanently 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
Thevalueofthisworkis$ "111-flê,.O6 p~k~ fý'\~
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
k~yY~
(Signature of Company Officer)
élt ~ ~1-d
Q.a-.9-dE>
(Date)
(Print Name of Officer)
5/02