HomeMy WebLinkAbout0119471-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1340 PARKSIDE CT
CITY OF OSHKOSH
No
119471
HVAC PERMIT. APPLICATION AND RECORD
Owner
PATRICK a STRANGE
Create Date 05/11/2006
Plan
Contractor RASMUSSEN'S HEATING & AlC INC
1 1 Oil
Fuel 1"'1 Gas
System n New 1
l-"I Forced Air U Radiant
1 I Electric 1 1 HotWater
Chimney Type r) Chimney A () ChimneyB
Heat Loss r) As Approved . Existing
BTU Rate r ) As Per Plan ( ) Variable
Cate90ry 500 - Residential-Heating & Ventilating
1 1 Solar
1 I Solid
1 1 Electric
PJ Replace
U Steam
U Suppl.
n Other
U AlC 1 U Vent
1 1 Con. Burner 1
() Not Applicabie
. Direct Vent
( ) Not Applicable
. Other
Value
Value
60000
Use/Nature SFRI Replace furnace, install 3" chimney liner, EIV provided by Slim's Elect.
of Work
Fees: Valuation
$3,050.00
Plan Approval
$0.00
Permit Fee Paid
$51.50
Issued By:
Date 05/11/2006
D Permit Voided I
Parcelld # 1226700000
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 permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
5154 DAVID DR
OSHKOSH
WI 549O4 - 8850 Telephone Number
920-235-6569
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.
May, 3, 2006 6:41AM
inspection services
No, b4UY
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I (Wc)
the homcowner(s) of
Electric Installation Verification
P"'1-r""h .5+rA\'\~~
(print homcowner(s) name)
/3<-¡ö PaA',;¡Jc. L:\1-.
(address where work is to be perfomed)
r, 11 \
accept the responsibility for perfom1ing the electrical work as stated below for the property listed
above.
The nature ofthc work consists of: (Check One or Describe the Nature of Work)
K Reconnection or new circuit for replacement Heating Plant and/or NC Condenser.
- Reconnection or new circuit for replacement Electric Wate! Heater or power vented
water heater. ,
- Reconnection of the Scrvice 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
- Recnnneclion or new circuit for the replacement of other permanently wired
appliances I fixtures.
- New circuit for the addition of NC to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric on a sillgle family owner occupied home. Work on a condominium.
duplex, rental, or multi-use building would require a licen.ved master
electrician. .
Other
The value of this work is $
/z:ß ,0<:>
. I hereby verify this work will be performed by me and further verify the reconncction I
instal1ation will be done in compliance with manufacturer and Electric code requirements,
~~
Homeowner(s) Signature
5-';;-C(;,
(Date)
SlIrJ.