HomeMy WebLinkAbout0116992-HVAC (furnace & a/c)
..
OSHKOSH
ON THE WATER
Job Address 1725WMURDOCKAVE
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
116992
OWner
MR/MRS GERALD R STEINIKE
Create Date 10/27/2005
Plan
Category 502 - Residential-Both
1"'1 Electric
Contractor MARTENS HEATING & COOLING
I I Oil
Fuel I~I Gas
System [7] New
c-:I Forced Air U Radiant
I I Electric I 1 Hot Water
Chimney Type r) Chimney A () Chimney B
Heat Loss r ) As Approved . Existing
BTU Rate r ) As Per Plan ( ) Variable
I I Solar
I I Solid
[7] Replace
U Steam
I I Suppi.
n Other
. DirectVent
c-:I AlC I
I I Con. Burner I
( ) Not Applicable
U Vent
( ) Not Applicable
. Other
Value
Value
Use/Nature SFR/ Replace furnace and add AlC, install 3 x 35 flexiliner, EIV provided by Hoehne Elect.
of Work
Fees: Valuation
$5,493.00
Plan Approval
$0.00
Permit Fee Paid
$87.50
Issued By:
Date 10/27/2005
D Permit Voided I
Parcelld # 1200510500
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 penmit 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
PO BOX 106
WAUKAU
WI 54980 -106
Telephone Number
920-685-0111
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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215 Cbmcb Ave.",
POBoxlBO
OshkœbW¡ 54903-1130
omœ 920-236-5050
Fax 920-236-5084
INCOMPLETE
Your request can not be
processed until co~plete
information is provided
Electric Installation Verification
I (W e) -- /-" ¿Ii /k ~ £/e/~ ¿
. (Electrical Contractor Name)
íJì 3 /£- íZ)lxr /) ¡¿ ð mild tv ;' "5 Y7:~
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for -j e ( ( j S tE'.' /f Ke
(Name 0 party contracted to)
at the following address:
/íéJ-S-'~ n1u..rdo<-1::. ALJ€-
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
~ 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
The value of this work is t"~ 5-ò, éJD
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.
f) ¡¿ -L /4 Á/l<:
(Print Name of Officer)
IOd6 os-
I (Date)