HomeMy WebLinkAbout0118621-HVAC (furnace; a/c)
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OSHKOSH
ON THE WATER
Job Address 1849 NORTH POINT ST
CITY OF OSHKOSH
No
118621
HVAC PERMIT -APPLICATION AND RECORD
Owner
CLYDE JIWENDY S GRUSE JR
Create Date 03/22/2006
Plan
Contractor
Fuel
PREMIUM AIR INC
1"'1 Gas
Category 502 - Residential-Both
I 1 Electric
System
0 New
~ Forced Air
I 1 Oil
I
I J Solar
U Solid
~e
U Steam
U Suppi.
. DirectVent
n Other
I I Electric
Chimney Type r) Chimney A
U Radiant
I 1 HotWater
~ AlC 1
1 1 Con. Burner I
( ) Not Applicable
U Vent
Heat Loss
R ) As Approved
[) As Per Plan
0 Chimney B
0 Existing
BTU Rate
( ) Variable
. Not Applicable
. Other
Value
Value
100,000 BTU
Use/Nature FR / REPLACE FURNACE & AlC XYF95100CU4 FURNACE, GSCB0361A AlC'EIV PREMIUM AIR INC
of Work
Fees: Valuation
$6,302.00
Plan Approval
$0.00
Permit Fee Paid
$101.00
Issued By:
/J?M
Date 03/22/2006
0 Permit Voided I
Parcelld # 1521730000
In the perfonmanee 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 necessa/y approvais before starting such activity.
Signature
Date
AgenVOwner
Address
N3225 HWY 15
HORTONVILLE
WI 54944-0
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.
~
O{ti~Q'H
CityofOshk"h
Oivisio" on"'p"'tio" s.~i",
2t5 Chu"h Av,"""
PO Box 1130
Oshkosh WI 54903-II30
om" 920.236.5050
Fox 920-236-5084
Electric Installation Verification
I (We) "'Y,r-<,-y,~<--<"" .f\.~J ¡"e .-«)I').e.~U..!l.)
. (Electncal Contrac rName)
J;:31(n"5f\,~n\i'ar:1.b'( ~
(Address)
('J;: h kǣh
(City)
LA)\
(State)
~!/£2¡D'f
(Zip Code)
have been contracted to perform electric installation work for ðJ~1 ¡.¿ (h ru ,<.J
(Name of party contracted to)
at the following address:
1"h+Dt N.....4-:-i;J/)lh+/ 9-,...u +
(Address here work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
---X-
Reconnection or new circuit for replacement Heating Plant and/or AlC 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 AlC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
Ii!
The value of this work is $fE;'QC!'d..öD ~e:/<òP¡"¿' i.e.-) ~
I 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.
~r"l)"ß .~I' J,,' ,...1)(>:,')
( Ignature of Company Officer)
~C).......¿..., f'J.' t..ice hs
(Print Name of Officer)
~-)3.--L9L,...
(Date)
5/02