HomeMy WebLinkAbout0118631-HVAC (furnace)
~
OSHKO9H
ON THE WATER
Job Address 621 CEAPE AVE
CITY OF OSHKOSH
No
118631
HVAC PERMIT. APPLICATION AND RECORD
Owner
MATHIAS/SANDRA SALZSIEDER
Create Date 03/22/2006
Plan
Contractor A-1 HEATING & AlC INC
1"'1 Gas 1 I Oil
Fuel
System n New 1
~ Forced Air U Radiant
I 1 Electric U Hot Water
Chimney Type . Chimney A () Chimney B
Heat Loss 0 As Approved . Existing
BTU Rate U As Per Plan ( ) Variable
Category 500 - Residential-Heating & Ventilating
U Solar
I I Electric
[7] Replace
U Steam
1 I Suppl.
e) Direct Vent
U AlC 1
LI Can. Burner I
( ) Not Applicable
U Solid
0 Other
U Vent
() Not Applicable
. Other
Value
Value 72,000
Use/Nature DUPLEX 621 A CEAPE AVE / FURNACE REPLACEMENT"EIV BELL ELECTRIC JOB #3023
of Work
Fees: Valuation
$1,587.10
/J) i.!/)
Plan Approval
$0.00
Permit Fee Paid
$29.00
Date 03/22/2006
Issued By:
0 Permit Voided I
Parcelld # 0801080000
In the performance of this work, I agree to perfonm 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 perfonm the work
described in this penmit application within an easement, the City strongly urges the penmit applicant to contact the easement
holder(s) and to secure any necessary approvals before stariing such activity.
Signature
Date
Agent/Owner
Address
W8078 HILLCREST CT
HORTONVILLE
WI 54944-0
Telephone Number
920-779-8838
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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Electric Installation Verification
¡ (We)-IL~_._-1!L~C-1f'; (..
(ElectricaJ Contractor Name)
----..P.:C?:..-.ß 0 X
(Address)
112._.
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(City)
""/ I J'Y'lS:2.
(State) (Zip Code)
A-I 1I~(Jrf(~ (j- /1/C.
(Name of party contracted to)
ó~1 Jf C -e~lJf' /fl{. (J5J,J{6~J. 10." ¡l}am}fp
(Address where work will be perfonned) }.3S -;JcJ-.,<j
have becn contracted to perform electric installation work for
at the following address:
The nature O))he work consists., of: (Chcck One or Dcscrib. e the Nature of Work)
--.IL" Reconncction or new circuit for replacement Heating Plant and/or Ale 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 pennil.
-- Reconncction or new circuit for the replacement of other pennanently wired
appliances I fixtures.
---. New circuit for the addition of A/C 10 an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
- Other
---........--.---..-.
-....----.c...------.--
The value of this work is $..-
I hereby verify this work will he perfonned by an employee of this company and further verify
th~ reconncction I insta!]alion will be donc in compliance with manufacturer and Electric code
requirements.
- .'~ ~~:=::.__..._-
(Sign;J!urc oi"('ol11pany Officer)
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(Print Name of Officer)
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(Date)
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