HomeMy WebLinkAbout2005-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1217 S MAIN ST
CITY OF OSHKOSH
No
117472
HVAC PERMIT -APPLICATION AND RECORD
Owner
GROH LANa COMPANY LLC
Create Date 12/05/2005
Plan
Contractor CUSTOM HEATING & COOLING
I I Oil
Fuel 1,11 Gas
System n New
~ Forced Air U Radiant
I I Electric I I HotWater
Chimney Type K) Chimney A ( ) Chimney B
Heat Loss K ) As Approved ( ) Existing
BTU Rate K ) As Per Plan () Variabie
Cat~gory - 500 - Residential-Heating & Ventiiating
I I Solar
I I Solid
I I Electric
P1 Repiace
U Steam
I I Suppl.
n Other
. Direct Vent
U AlC I
I I Con. Bumer I
() Not Applicable
U Vent
. NotApplicabie
. Other
Value
Value 80000
--- rR Com,œ "",_.
of Work
Fees: Valuation
$2,000.00
Plan Approval
$0.00
Permit Fee Paid
$35.00
Date 12/05/2005
Issued By:
tfl1¿
0 Permit Voided I
Parcelld # 0303750000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Whiie the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, 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
1503 SOUTH MAIN STREET
OSHKOSH
Wi 54902-0
Telephone Number
(920) 235-7263
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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OJHKOfH
ON'H'W^,"
City ofOsbk",h
Division nfImpection Sernces
m Chwoh Avenue
PO Box 1130
Oshkosh WI 54903-1130
om", 920-236-5050
F.x 920-236-5084
Electric Installation Verification
I (We)
d~
¿'~.
(Electrical Contractor Name)
~dr 4ß?-1 ~. W¿
(Address) (City) (State) (Zip Fode)
have beeo contracted to perform electric installation work for {] U:5 '~¿'t. ~~
(Name of party contracted to)
W:599
:5-y' 9 ¿?-::!J
at the following address:
/~:/? :s ß.a. - ~
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
~noection or new circuit for replacement Heating Plant and/or AlC Condenser,
- Reconoection or new circuit for replacemeot Electric Water Heater or power veoted
water heater.
Reconoection 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.
Reconoection or new circuit for the replacement of other permaneotIy 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
ThevalueoftIllsw~kis$
/G'-SPL::>.
I hereby verify tIlls work will be performed by an employee of this company and further verify
the reconoection I installation will be done in compliance with manufacturer and Electric code
requirements.
/l " ~.
{(/IL-/7Ç /; t ¡;/1~
(Print Name of Officer)
fk~s
(Date)