HomeMy WebLinkAbout0118181 H
e
OSHKOSH
ON THE WATER
Job Address 525 SCHOOL AVE
CITY OF OSHKOSH
No
118181
HVAC PERMIT - APPLICATION AND RECORD
Owner
TIMOTHY/KATHLEE SIX
Create Date 02113/2006
Plan
Contractor MARK WEBER HEATING & COOLING IN
1"'1 Gas 1 1011
Fuel
System 0 New 1
~ Forced Air U Radiant
I I Electric I 1 HotWater
Chimney Type . ChlmneyA e ) Chimney B
Heat Loss r) As Approved . Existing
BTU Rate . As Per Plan e ) Variable
Category 500 - Residential-Heating & Ventilating
I 1 Electric
[7] Replace
I 1 Solar
1 1 Solid
0 Other
U AlC I U Vent
1 I Con. Burner 1
e ) Not Applicable
U Steam
1 I Suppl.
e) DirectVent
e ) Not Applicable
e) Other
Value
Value
Use/Nature ~FRI Replace furnace, Install chimney liner, EIV provided by ECS
of Work
$1,650.00
Plan Approval
$0.00
Penmit Fee Paid
$30.50
Fees: Valuation
Issued By:
Date 02/13/2006
0 Permit Voided I
Parcelld # 0201270000
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 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
AgenUOwner
Address
1075 ISLAND ESTATE CT
OSHKOSH
WI 54901-0
Telephone Number
235-1523
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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om" 920-236-5050
F" 920-236-5084
Electric Installation Verification
I (We) £~\. 'Z:6:>L>\_ ..\,¡\.J\~~ S~~F~ \\~(~>
(Electrical Contractor Name)
\2~ W
(Address)
"Ll ~~-
Ct~~a,>,*
(City)
..L
VV.
(State)
s'-l'102-
(Zip Code)
have been contracted to perfonn electric installation work for 1'1 tt-n.( ~11 t-f.e'fl"n NG 1'\w1), <2 Qc:L¡ """',.x
(Name of party contracted to) ( ,
at the following address: -5 (X:5 g<2-~~
(Address where work will be perfonned)
The nature ofthe work consists of: (Check One or Describe the Nature of Work)
K Reconnection or new circuit for replacement Heating Plant and/or AIC 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 pennit.
- Reconnection or new circuit for the replacement of other pennanently 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 $ / f) è) . DD
I hereby verify this work will be perfonned by an employee ofthis company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
"
(h.~ b~
(Print Name of Officer)
~h /O~
(Date)
5/02