HomeMy WebLinkAbout0116701-HVAC (furnace)
~e
OSHKOSH
ON THE WATER
Job Address 2301 HARRISON ST
CITY OF OSHKOSH
No
116701
HVAC PERMIT -APPLICATION AND RECORD
Owner
SUSAN K REQUE
Create Date 10/10/2005
Plan
Contractor ALL SEASONS QUALITY HTG & CLG
Fuel 1"'1 Gas 1 1 Oil
System n New ~
~ Forced Air U Radiant
1 I Electric 1 1 Hot Water
Chimney Type U Chimney A ( ) Chimney B
Heat Loss r ) As Approved . Existing
BTU Rate r) As Per Plan ( ) Variable
Category 502 - Residential-Both
1"'1 Electric
I 1 Solar
LI Solid
n Other
[I Vent
[7] Replace
U Steam
1 1 Suppl.
. Direct Vent
~ AlC I
1 1 Con. Burner 1
( ) Not Applicable
() Not Applicable
. Other
Value
Value
Use/Nature [SFR/ Replace furnace and AlC, Install 3" chimney Liner, EIV provided by Van Ert Elect.
of Work
Fees: Valuation
$5,250.00
Plan Approval
$0.00
Permit Fee Paid
$84.50
Date 10/10/2005
Issued By:
0 Permit Voided I
Parcelld # 1517750000
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
3698 VINLAND RD
OSHKOSH
WI 54901-0
Telephone Number
920-426-8090
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.
1~/05/05 ~ FAX 920 766 088~~. ERr. ELEÇr.~l£.-
'~-,-----;~, ..', ""..,',""" ,," ,....,.....,'..,
~001
'....
~
~
c¡",r(>sbJ<,,'
Oi,;,ion ,r""""""" S"'^",
"5Ch""hAm",
pO So> "SO
o,1, "",WI """.1130
om" 020-,,"""
", "0."6.5014
Electric Installation Verification
I (We)
,1M F,.'('
r;tuJ-v.;<:
(Electrical Contractor Name)
ZI"IM f)rlJ~f"i!-ÇS I.Ò.a.v 'k'nU}bU.lAr. WI S</t3ð
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for IlII .1"S^ "'. P,..J~ i 1'4,
(Name ofpa.-1y con cted to)
at the following address:
2..30 \ U-~rrìS'n VI s+-,
(Address where work will be performed)
The nature ofth" work c<;msists of: (Check One or Describe the NatUre of Work)
~ Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
- Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
- ReconDection of the Service Entrance Cable, Meter Box, alteraÛòns to receptacles
, and lighting fixtures due to siding J soffit installation. Note: New Se:rvi.ce
Entrance Cables will require a separate permit. ..
-- Reconnection or new circuit for the replacewe11t of other pennanently wired
appliances I fixtures,
- New circuit for the addition of A/C 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 $
/7t( IY)
I hereby verify this work will be performed by an employee ofthis company and further verify
the reconnection J installation will be done in compliance with manufacturer and Electric code
requirements, ,
~ £:2 -
(Signature of Comp:?';Officer)
~'r ¡d~-
(Print Name Officer)
/Q{f!"- .
, ( ate)
5.<.12