HomeMy WebLinkAbout0117394 H
~
OSHKOSH
ON THE WATER
Job Address 203 W NEW YORK AVE
CITY OF OSHKOSH
No
117394
HVAC PERMIT -APPLICATION AND RECORD
OWner
STACY A DEATON
Create Date 11/23/2005
Plan
Contractor RASMUSSEN'S HEATING & I'JC INC
I I Oil
Fuel 1';1 Gas
System n New I
l"J Forced Air U Radiant
I I Electric I I Hot Water
Chimney Type U Chimney A . ChimneyB
Heat Loss K ) As Approved ( ) Existing
BTU Rate K ) As Per Plan . Variable
Category 502 - Residential-Both
1';1 Electric
1 I Solid
1 I Solar
[7] Replace
U Steam
1 I Suppl.
() DirectVent
n Other
U Vent
l"J I'JC I
1 I Con. Bumer 1
( ) Not Applicable
. Not Applicable
() Other
Value
Value 80000
Use/Nature FRI Replace fumace and I'JC, install 3" Flexiliner, EIV provided by Slim's Elect.
ofWork
Fees: Valuation
$5,625.00
Plan Approval
$0.00
Permit Fee Paid
$90.50
Issued By:
Date 11/23/2005
0 Permit Voided I
Parcelld # 1008010000
In the performance of this work, I agree to perform all work pursuant to rules goveming 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 this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvais before starting such activity.
Signature
Date
AgenVOWner
Address
5154 OAVID DR
OSHKOSH
WI 54904 - 8850 Telephone Number
920-235-6569
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.
>
e ~-
~~~
E1edI'ie ~ vetifieadø
\.0\ S¿¡'°4
(SIBle) (Zip Code)
. JJøebeca""",.......,fO....-e1eebie- . - '...WGlkiJlr -R4!!.",~"'5 H\1Ac.....
(Name of ped.y ~ to)
;;¿ 6 3 W 1\J e-(AJ YoP' k
(.Adikes8 ,.. wodt wD1 be ~
..,., - of""" ooøåiIB oJ: (Check Qae.. ])escdbe":N'øÞøo ofWork)
~tl -- "".._~... .r nrv-.........8iilfatAfCCaulhrrllt.
- JtI¡¡! ...-_CÍlllllllÍtIlr..1 -r,......w..JJeIdcI"'pIIWCI'VCIIial
..... ...... .
- :Bt.c _1ÎP"""Scn.Ï!!*~OiIIJ..JIiIIfK"'1."""-1D~
""""","'.IÏIIIIJ/". - fa --_Saviee
_1 rQØ8""'- - -r-L
, -"" ---.............. -. ~.r""r
: u - vi"""
- ....................AlCfO_¡ - i1i .~"'{IIœ8B«the
~:.:... ,,"'-_1" - U J. - . - - - - t.mœ
- oø.r
I (We) S,¡'".~ ::::::,¡c.. .
- ~ o..tf ....,..:NIIaIø)
ai>ð8 C>6k_-I Gr ~
~) (at¡ð
at the ib}IøwíøJ aiIIIø:8:
~ wiRd
. .
'DIo~øftllis""isS ;2.50, òÒ
IJøa1JIyvelifytllisWl8kwill1le .-I......æ by - ~ øltIIis cmBJI'IDY 8l1li fiutberveñfy
tIIo J!*I8M' ......, w"""--="'" will..' daøe ia cøøapJia1IIeø wiIIt ...,.....L"", and EIecIrie code
~~dt J!;-J5-<>S
: {Dale)