HomeMy WebLinkAbout0116867-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
Job Address 748 FREDERICK ST
CITY OF OSHKOSH
No
116867
HVAC PERMIT. APPLICATION AND RECORD
Owner
GERALD M RUSSELL TRUST
Create Date 10/19/2005
Plan
Contractor PREMIUM AIR INC
Fuel I"¡ Gas I 1011
System D New I
i:toI Forced Air U Radiant
I I Electric I I HotWater
Chimney Type U Chimney A ( ) Chimney B
Heat Loss [ ) As Approved . Existin9
BTU Rate [ ) As Per Plan ( ) Variable
Category 502 - Residential-Both
I"¡ Electric
I I Solar
I I Solid
~ Repiace
U Steam
I I Suppi.
. Direct Vent
n Other
i:toI AlC I
I I Con. Burner I
( ) Not Applicable
U Vent
() Not Applicable
. Other
Value
Value 60000
Use/Nature ISFRI Repalce furnace and AlC - EIV provided by Premium Air - No Chimney LIner being installed --Where an appliance is permanently
of Work isconnected from an existing chimney or vent (CN). the CN shall be resized as necessary to oontrol flue gas condensation in the interior
bf the CN and to provide the appliance or appliances served with the req. draft.
Fees: Valuation
$8,232.00
Plan Approval
$0.00
Permit Fee Paid
$129.50
Date 10/19/2005
Issued By:
D Permit Voided I
Parcelld # 1004780000
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 perfonm the work
described in this permit application within an easement, the City strongly urges the permit applicant to oontact the easement
holder(s) and to secure any necessary approvais before starting such activity.
Signature
Date
AgenVOwner
Address
N3225 HWY 15
HORTONVILLE
Wi 54944-0
Telephone Number
920-982-3323
To schedule inspec1ions 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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C;tyofO'hko,h
D;,;,ion ofht'P'otion S'Nic"
215 ChW'ch A"nu,
POBox 1130
O,hko,h WI 54903-1130
om" 92().236-5050
Fox 92()'236-5084
Electric Installation Verification
I (We)
'?N' Yn:t1"m 14-t;,. (YV:' ,On"", ~...{-^-"'
. " (Electrical Contractor Name)
""'-,llð<Ä ~'-"PPV¡ I.k(~'1 R&
(Address)
¿?;In k£)s("
(City)
lÜ
(State)
~()4
(Zip Code)
have been contracted to perfonn electric installation work for ¿;",r,.¡ lei 'B"ç: <:,.p II
(Name of party contracted to)
71-f(b :r::"'ßd""" irk. ::KV'.¿e:f
(Address where work will be perfonned)
at the following address:
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 / soffit installation. Note: New Service
Entrance Cables will require a separate pennit. '
Reconnection or new circuit for the replacement of other pennanently 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
"
Ihe value of this work is $ <8 :::¡~..nn ß ~~ ?Á.L~
I hereby verify this work will be perfonned by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
Jon ILl c..C-om>-e.J )
(Print Name of Officer)
10-1/-0":"J
(Date)
5/02