HomeMy WebLinkAbout0118921-HVAC (furnace; a/c)
~
OSHKOSH
ON THE WATER
Job Address 569 EVANS ST
CITY OF OSHKOSH
No
118921
HVAC PERMIT -APPLICATION AND RECORD
OWner
JON P/SARAH A VANKEUREN
Create Date 04/12/2006
Plan
~~
Category 502 - Residential-Both
~ Electric
I 1 Solar
1 1 Solid
Contractor PREMIUM AIR INC
Fuel 1"'1 Gas
System 0 New
~ Forced Air
1 1 Electric
Chimney Type ~A
Heat Loss 0 As Approved
BTU Rate K) As Per Plan
P1 Replace
U Steam
n Other
U Radiant
1 1 Hot Water
~ AlC -.J
1 1 Con. Burner 1
( ) Not Applicable
U Vent
( ) Chimney B
. Existing
1 1 Suppl.
. Direct Vent
( ) Variable
0 Not Applicable U
. Other ~
Value
Value 60000 2T
Use/Nature ~FRI Replace furnace and AlC - EIV provided by Premium Air - No Chimney Liner being installed --"Where an appliance is permanently
of Work isconnected from an existing chimney or vent (CN), the CN shall be resized as necessary to control flue gas condensation in tI1e interior
f the CN and to provide the appliance or appliances served with the req. draft.
Fees: Valuation
$6,634.00
Plan Approval ~~
Permit Fee Paid
$105.50
Issued By:
Date 04/12/2006
0 PenmitVoided I
Parcelld # 1102670000
In the performance of tI1is 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 permit application witl1in 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
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.
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O'{[;KQ/,H
CityofO,hko,h
Dlvi,lon ofln'p,"ion 8ml",
2J5 Ch""h A"n"'
PO Bo, ]!30
O,hko,h W! 54903-! 130
Offi" 920-236.5050
F" 920-236-5084
Electric Installation Verification
I (We) Y'rem:I1'-;¡ AIV' ) r"X' - - (J..,¿ ~"'^--'
, (Electrical Contractor Name)
6HA ~V>M/)v.e,{~ï Rct
(Address)
O;;hke:;.k
(City)
~o+
(Zip Code)
w¡
(State)
have been contracted to perfonn electric installation work for .J 0., V &.r¡1( R<A.R..~"
(Name of party contracted to)
at the following address: ~úq
Qv-ò.nC' s,h~ - D..?,--k.Ð&L--...
(Address where work will be perfonned)
The nature ofthe work consists of: (Check One or Describe the Nature of Work)
-L
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 Bòx, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate pennit.
Reconnection or new circuit for the replacement of other pennanently 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
T~evalueofthisworkis$ &LP3-i.{.co '1'ù~~-
I hereby verify this work will be perfonned 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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(Signature of ompany Officer)
~,,-'-... ~fÚ>ø(,,*
(Print Name of Officer)
~- ']- 0 to
(Date)
5/02