HomeMy WebLinkAbout0118805 H
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OSHKOSH
ON THE WATER
Job Address 213 N LARK ST
CITY OF OSHKOSH
No
118805
HVAC PERMIT -APPLICATION AND RECORD
Owner
JAMES R/MARY J LARSON
Create Date 04/06/2006
Plan
Contractor CUSTOM HEATING & COOLING
1"1 Gas 1 1011
Fuel
System n New -.-J
l"J Forced Air U Radiant
1 1 Electric 1 I Hot Water
Chimney Type ~yA ( ) Chimney B
Heat Loss 0 As Approved . Existing
BTU Rate 0 As Per Plan 0 Variable
Category 502 - Residential-Both
1"1 Electric
1 1 Solid
I 1 Solar
~
1
n Other
l"J AlC 1 U Vent
n Con. Burner 1
0_Replace
ITSteam
U Suppl.
. Direct Vent ~plicable
IT Not Applicable
. Other
Value
Value 60000, 1.5T
Use/Nature SFR/ Replace fumace and AlC, install 3 inch chimneY liner - EIV provided by Hoehne Elect.
ofWork
$3,600.00
Plan Approval
$0.00
Permit Fee Paid
$59.00
Date 04/06/2006
Fees: Valuation
Issued By:
0 Permit Voi~
Parcelld # 0609010000
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a parfy, 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
AgenVOwner
Address
1503 SOUTH MAIN STREET
OSHKOSH
WI 54902-0
Telephone Number
(920) 235-7263
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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O-{tfQI.H
CityofO,hkosh
Division ofl"""",ion Semees
215 Chmcb Avenue
POBox 1130
OOkoshWI54903-1130
0"= 920-23"5050
Fax 920-23..5084
Electric Installation Verification
I (We)
C7/~
(Electrical Contractor Name)
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W& 599G-- .:3
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(Address) (City) (State) ~-
have been contracted to perform electric installation work for e~' ~ \
(Name of party contracted to)' 0
,;;J/3 '.;u ,¡{M £
(Address where work will be performed)
at the following address:
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 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 $ ,'3ð-o
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.
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"/1l-4lç A l k;¡s;¿
(print Name of Officer)
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