HomeMy WebLinkAbout0116709-HVAC (furnace & a/c)
~
OSHKOSH
ON THE WATER
Job Address 1317 POWERS ST
CITY OF OSHKOSH
No
116709
HVAC PERMIT. APPLICATION AND RECORD
Owner
MICHAEL J OBRIEN ETAL
Create Date 10/10/2005
Plan
Contractor PREMIUM AIR INC
Fuel 1"'1 Gas
System n New
~ Forced Air
1 1 Electric
Chimney Type K) Chimney A
Heat Loss K) As Approved
BTU Rate K) As Per Plan
Category 502 - Residential-Both
1 1 Electric
I 1 Oil
1
I 1 Solar
P1 Replace
U Steam
1 I Suppl.
. DirectVent
[I Solid
~
~ AlC I 0 Vent
1 I Con. Burner 1
() Not Applicable
U Radiant
1 1 Hot Water
() Chimney B
. Existing
( ) Variable
( ) Not Applicable
. Other
Value _--.J!
Value 60000 . 2T
Use/Nature FRI Replace furnace and AlC. EIV provided by Premium Air Inc - NO CHIMNEY LINER BEING INSTALLED --Where an appliance is
of Work permanently disconnected from an existing chimney or vent (CN), the CN shall be resized as necessary to control flue gas condensation in
he inlerior of the CN and to provide the appliance or appliances served with the req. draft.
$9,479.00
Plan Approval
$0.00
Permit Fee Paid
$147.50
Fees: Valuation
Issued By:
Date 10/10/2005
D Permit Voided I
Parcelld # 1507860000
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
While tI1e City of Oshkosh has no authority to enforce easement restrictions of which it is not a pariy, 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
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 performed within two business days from the time the project is ready.
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O.{ti~gtH
ChyofO,hkosh
DIYI,I" ofIn'p""" S",lm
215 Ch""h Ay",",
POBox 1130
Oshk"hWI 54903.1130
Office 920.236.5050
F" 920.236.5084
Electric Installation Verification
I (We)
Vr-ti'r,:u.rJ.-) Ro', ¡he. - On.e.- 1-1.:-eU-A--
(Électrical Contractor Name)
"Slll'OS ('71rPJrl \h;¿lcPií
(Address)
Kd
Ò.f?ck o¡;;tA"
(City)
LV]
(State)
l54-q 0 4-
(Zip Code)
have been contracted to perform electric installation work for M ¡ a.fy;) e ( D !?ff../-lj¡
(Name of party contracted to)
at the following address:
1~i7
PO'-'lJ--é'V> S-I V'-6<..--f
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
-X
Reconnection or n'ew circuit for replacement Heating Plant andlor 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 / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / 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 $ QI-../¡ to¡ ,Q(" f&C:kCk'Ð ~ f'r;' ~
I hereby verify this work will be performed by an employee ofthis company and further verify
the reconnect ion / installation will be done in compliance with manufacturer and Electric code
requirements.
J< O;\l,~ I~'¡ (' .A~M
(Signature of ompany Officer)
~R..er') t-L f'h 01<'.6
(Pnnt Name of Officer)
Cf.;}..,q -O~
(Date)
5/02