HomeMy WebLinkAbout0117790-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1016NEBRASKAST
CITY OF OSHKOSH
No
117790
HVAC PERMIT - APPLICATION AND RECORD
Owner
CHARLES P MORTENSON
Create Date 01/06/2006
Plan
Contractor
TENTH STREET STATION INC
Category 500 - Residential-Heating & Ventilating
BTU Rate
1,;1 Gas 1 1011 1 I Electric
n New f7l Replace
~ Forced Air U Radiant U Steam
I I Electric I 1 HotWater I I Suppl.
Chimney A Chimney B Direct Vent
K ) As Approved . Existing ( ) Not Applicable
K ) As Per Pian ( ) Variable . Other
I I Solar
I I Solid
Fuel
System
n Otl1er
U Vent
Chimney Type
U AlC I
I I Con. Bumer 1
Not Applicable
Value
Heat Loss
Use/Nature FRI Repalce space heaters with furnace and duct system, install 4" x 35' Flexiliner - EIV provided by Seckar Elect.
of Work
Value 75000
Fees: Valuation
$2,000.00
Plan Approval
$0.00
Permit Fee Paid
$35.00
Issued By:
Date 01/06/2006
0 Permit Voided I
Parcelld # 0302500000
In the performance of this work, I agree to perform all work pursuant to rules goveming tI1e described construction.
While tI1e City of Oshkosh has no autl1ority to enforce easement restrictions of which it is not a party. if you perform the work
described in this permit application within an easement, tI1e City strongly urges tI1e permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/OWner
Address
924 OHIO STREET
OSHKOSH
WI 54902-0
Telephone Number
236-8770
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.
FROM : ~ENTH STREET STAT ION, INC.
FROM:
FAX NO. : 920-236-0150
Dec. 29 2005 10:36AM P2
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FA.": NC. :9205624909
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Electric Installation Veriñcation
¡(We) &(..r.~ '~¿'e-(neIC CD }Nc...
(Electrical Contractor Name)
/5Przo CO t£:vJt:-y
(Address)
f'W¡¡"Þi:7€ ¡e1¿,,-f¿Q ¡<)¡Y¡¡'CO,.J~~
(City) (State)
WI S41~ b
(Zip Code)
have I:>èen contracted to pcIÍonn e1ecuic umaJ1ation wútk forTt::lJn.( .:5T't£'ëT ..s77'ríJO~)
(Name of party CO!'Jtrncted to)
at the fol1owing address: -.l9ffiL~L.._,".._- .
(Address where ,,",ork "I.m be perfo:rrned)
The l'ature of the work consists of: (Check One or Describe the Nature of Work)
. X Reconr¡ection or new cirCl1;t fot replace¡nent He.atir.g Plant andíor AlC Condenser.
- Reconnect3on or new circuit for replacement E!eOlnc Water Heater or power vented
. . ws¡.¡r heater. .
Roconncction ofthð Service Entrance Cable, Metet' Box, alteration¡¡ to rtce¡>!acles
.--:- and lighn"g fixtUres due to siding / soffit instaJlation, Note: New Semca
Entrance Cables wi ] require a separate permit.
Reconnectìon or new circuit for the ~lacem.ent of other permanently wired
appiiances ! fixtures,
-' New circuit for thè addition of NC to an IndIvidual dwell/fig unit (house or the
. ¡';'¡¡vidu.a! ")'Sterns in a dupJex Ot" condorohÚum), .jl1Cluding t"'1uired service
. elect1ÏðaJ outlets.
- Other
The vahle ofrbis work is $/00, oò'
J hereby verify this work wiIJ be performed by an employee of this company and further verify
the rCt,onne.ction i installation will be done in compliance wit.1:1 manufacturer and Electric code
req¡¡jremelils. '. .
.~J~t ¿Ç[tLro .
(S,.gnaturo.lsr Company Offioer)
~~ ~.S~.j::~
(Prixit Hame OfOlTrc.crì
IZ/2.'t/05
(Date)
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