HomeMy WebLinkAbout0116744-HVAC (furnace)
0
OSHKOSH
ON THE WATER
Job Address 704 W 5TH AVE
CITY OF OSHKOSH
No
116744
HVAC PERMIT - APPLICATION AND RECORD
Owner
JOAN W SCHUMACHER ETAL
Create Date 10/12/2005
Plan
Fuel
~:;¡'\RILL INC
1,(1 G~s
Category 500 - Residential-Heating & Ventiiating
Contractor
1 I Oil
1 I Solid
System
n New
l"'i Forced Air
1 I Electric
1 I Electric
~ Repiace
U Steam
1 I Suppl.
1 I Solar
Heat Loss
K ) As Approved
K ) As Per Plan
() Chimney B
. Existing
. Direct Vent
0 Other
U AlC I U Vent
1 I Con. Burner I
( ) Not Appiicabie
U Radiant
1 I HotWater
Chimney Type K) Chimney A
BTU Rate
. Variable
( ) Not Appiicabie
() Other
Value
Value
Use/Nature fr / HVAC application lists owner as Leroy Annis, replacing esisting furnace with new nn/g fumace. Separate circuit for eiectrical done by
of Work iictrician' EIV Witzke Elec
Fees: Valuation
$2,500.00
Plan Approval
$0.00
Permit Fee Paid
$44.00
Issued By:
Date 10/12/2005
0 Permit Voided I
Parcelld # 0602430000
In the performance of this work, I agree to perfonn 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 pany, if you perform the work
described in IS permit application within an easement, the City strbngly urges the permit applicant to contact the easement
hoider(s) and to see y ne ssa app before starting such activity.
Signature
Date Ø-/Z .{)~
Address
1018W SOUTH PARK AVE
OSHKOSH
~ 54902 - ~ Telephone Number
(920) 235-3600
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.
OCT, 6,2005
9:31AM
WITZKE ELECTRIC"
NO 0992
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Fox ~o.236.S084
Electric Installation Verification
I(We)~eJ E..JeotnG ----mC'
(Electrical Contractor Name)
155 E. 'Pad=.er Avenue.. OshWSh wr.
(Address) (City) (State)
have been contracted to perform electric installation work for S r; iíltfl/JIIL
(Name of party contracted to)
at the following address; 11)11- /J},.5/I¡ s-f ,~ At,fJls )
(Address where work '11 be p ormed)
54101
(Zip Code)
The nature of the work consists of; (Check One or Describe the Nature of Work)
~ Reconnectìon or new circuit for replacement Heating Plant and/or AlC Condenser.
- Reconnection or new circuit for replacement Electric Water Heater or power vente,d
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 wm require a separate permit.
- Reco:onection or new circuit for the replacement of other peananent]y 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 wiI1 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.
~'~ ~LCk.
(Signature of Company Officer)
~'r û\ 'ç.,
(print Name of Officer)
IO~5'Ò5'
(Date)
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