HomeMy WebLinkAbout0119213-HVAC (furnace & a/c)
0
OSHKOSH
ON THE WATER
Job Address 1502 BOWEN ST
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
No
119213
Owner
WilLIAM G SCHMIDT
Create Date 05/01/2006
Plan
Contractor
Fuel
PREMIUM AIR INC
~ Gas
n New
System
~ Forced Air
I I Electric
Chimney Type K) Chimney A
Heat loss 0 As Approved
BTU Rate [) As Per Plan
Category 502 - Residential-Both
~ Electric
U Solar
I I Soiid
I 1011
[7] Replace
U Steam
U Suppl.
e DirectVent
~
I
I
0 Other
~~
~ AlC I
I I Con. Burner I
U Radiant
U HotWater
~B
() Not Applicable
[2 Existing
0 Variable
. Not Appiicabie
. Other
Value
70000 1 2.5T
Value
UselNature FRI Replace furnace and AlC, EIV provided by Premium Air Inc - No chimney LIner being installed -Where an appiiance is permanently
of Work isconnected from an existing chimney or vent (CN), the CN shaii be resized as necessary to control flue 9as condensation In the interior
f the CN and to provide the appiiance or appliances served with the req. draft.
Fees: Valuation
$6,586.00
Issued By:
Plan Approval
$0.00
Permit Fee Paid
$104.00
Date 05/01/2006
0 Permit Voided I
Parcelld # 1511800000
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 pennit appiicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
AgenUOwner
Address
N3225 HWY 15
WI 54944-0
HORTONVILlE
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-!ti~Q[H
ChyofOshkOSh
D;v;s;on oflnsp",;on S",'",
215 Church A"nuo
POBox 1130
Oshkosh WI 54903-1130
om" 920-236-5050
Fo> 920-236-5084
APR 2 6 2006
Electric Installation Verification
I (We) épr~~,--, m A-::.- I hC . (()//\-€. ~
. / (Electrical Contractor Name)
"5./-1' "5 &. V' -'!..ev-¡ vJ~ i<o(
(Address)
Ð> hkO'ß,^
(City)
WI
(State)
~oL/-
(Zip Code)
have been contracted to perform electric installation work for ~; ILÕ\Üh Set",,; d~
(Name of party contracted to)
I ? 0 ;;L. ~ u.9 e '" $t-r- ...e¿ +
(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)
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 Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation, Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently 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
T~e value ofthis work is $ ¿, 'S<ß&- be ßc.,k."-J
, I hereby verify this work will be performed by an employee of this company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
it>
~ tv"'1 tl, f' he<{ b--.f
(Signature of Company Officer)
~A 1 ~cJ~
(Print Nam of Officer)
Y. d--S- 0 ~
(Date)
5/02