HomeMy WebLinkAbout0118804-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 905907 E PARKWAY AVE
CITY OF OSHKOSH
No
118804
HVAC PERMIT - APPLICATION AND RECORD
Owner
MARK B NELEZEN
Create Date 04/06/2006
Plan
Contractor BLACK-HAAK HEATING
1 I Oil
Fuel 1,;'1 Gas
System 0 New ~
Lv'! Forced Air U Radiant
I I Electric U Hot Water
Chimney Type ~) Chimney A ()ChimneyB
Heat Loss ( ) As Approved . Existing
BTU Rate I:J As Per Plan 0 Variable
Category 500 - Residential-Heating & Ventilating
U Solar
1 I Electric
PI Replace
U Solid
0 Other
U AlC I U Vent
U Con. Burner I
() Not Applicable
U Steam
I 1 Suppl.
. DirectVent
( ) Not Applicable
. Other
Value
Value
100,000
Use/Nature DUPLEX! 907 - REplace furnace -EIV Provided by Krueger Elect - No Chimney Liner being installed - Note --Where an appliance is
of Work permanently disconnected from an existing chimney or vent (CN), the CN shall be resized as necessary to control ftue gas condensation in
he interior of the CN and to provide the appliance or appliances served with the req. draf
Fees: Valuation
$3,500.00
Plan Approval
$0.00
Permit Fee Paid
$57.50
Date 04/06/2006
Issued By:
0 Permit Voided I
Pareelld # 1103160000
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 penmit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
PO BOX 3070
APPLETON
WI 54914 -70
Telephone Number
920-757-9990
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
KrcJ-~V' 6(k.tv-,',,- ~c.
( ctncal Contractor Name)
1'1'°1 i/",.."&'rl"",bro<,:k.. /?¿) LI'H7e. c.t....J"-. VI:. .sY/tfo
(Address) (City) (State) (Zip Code)
have been contracted to.perfonu óJoctrie ;nr.tailatlon work for fJ lo...t¿..1c~tc..J-/e:",,=f."ì
(Name of party contractod to)
at the: following addrc.s: - 907 P cu-k cJ~
(Address wh e work will be performed)
(I) (We) ---.
The n3tuJ'C ofthe work co '!£i£~~ of: (Check One or Describe the Nature of Work)
-.t- Reconncctioo or new c;n::uit for r<:plaeen:tl!:nt Hl!atin.g Plllllt andlOr AlC Condou&cr.
- Reconnection or new cin::uit for replacement E1ectric Water Eeater.
--- Reconnectioo of the Service En1rance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to $idlO.g;! soffit il1£talJatioo, Note: New Service Entrance
Cubic" will require a separate permit-
--.-- Reconnection or new circuit for other permanently wired appliances I flxmros.
Olber
The mJuc <'filii. work is $
r hereby verify this work willb. performed by a1Ienrployec oftlÜs company and further verify the
reconneetion,l u1staIJaliOl1 "f,U be done in complílJJ1cc with manufacturer and Electric code
requirements, .
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(Sip;ru¡.\Uxe o~m y Officer)
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(Print Namc of Offie
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