HomeMy WebLinkAbout0117636-HVAC (furnace & a/c)
~
OSHKOSH
ON THE WATER
Job Address 2425 HAMILTON ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
117636
OWner
JULIE SMERLING
Create Date 12/19/2005
Plan
v
Contractor
Fuel
PREMIUM AIR INC
I~ Gas
n New
System
~ Forced Air
I I Electric
Chimney Type K) Chimney A
Heat Loss
K ) As Approved
K ) As Per Plan
BTU Rate
Category 502 - Residential-Both
I~ Electric
I I Solar
I I Solid
I I Oil
M Replace
U Steam
I I Suppl.
n Other
U Vent
U Radiant
I I Hot Water
~ AlC I
I I Con. Burner I
( ) Not Applicable
( ) Chimney B
( ) Existing
. DirectVent
. NotAppliceble
. Other
Value
( ) Variable
Value 60000
Use/Nature FR/ Replace furnace ans 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 control ftue gas condensation in the interior
f the CN and to provide the appliance or appliances served with the req. draft.
Fees: Valuation
$7,277.00
Issued By:
Plan Approval
$0.00
$114.50
Pennit Fee Paid
Date 12119/2005
0 Permit Voided I
Parcelld # 1229220000
In the perfonnance 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 perform the work
described in this pennit application within an easement, the City strongly urges the permit appiicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
N3225 HWY 15
WI 54944-0
HORTONVILLE
Telephone Number
920-982-3323
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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ON,"' W^'"
I (We)
City of Oshkosh
Division ofinsp"tion Smi",
215 Chuœh Aven",
POBo, 1130
Oshkosh WI 54903-1130
om" 920-236-5050
F" 920-236-5084
Electric Installation Verification
p>u? m " LA: "^ 'fA /v. (rô (I .;, n... ~(;:~/.J
, (Electrical Contrac or Name)
4# ",,5 ('7//'-1'/" Va ((,p'1 If ,.,{,
(Address)
f.<Ù'. kCJ6h .
(City)
( A)¡ 6t-t:)/J(/
(State) (Zip Code)
Ju./"-f' J;J1t'r ¡,,~
(Name of party contr ed to)
have been contracted to perform electric installation work for
at the following address: qi.,L~-<:;
fl.:'" ,; (1--1)'7 $t~.¿, +
( ddress where work will be performed)
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 NC 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 permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of NC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical o1!tlets.
Other
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T~e value of this work is $ '7A "'}/71) 0 ?fé1ofl¿);¡./!.-"-lk ¡W
.1 hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
111
J<.c¿ A .L.-., ~ r ,..-It ~
, (Signature 0 Company Officer)
¡{.,ÞI'!rI A J'h.hÞ-s
(Print Name of Officer)
J.:¡- /4- or-
(Date)
5/02