HomeMy WebLinkAbout0119501-HVAC (furnace)
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~
OSHKOSH
ON THE WATER
Job Address 1152W7THAVE
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
No
119501
Owner
DANIEL J ECKSTEIN
Create Date 05/15/2006
Contractor ANDERSON HVAC LLC
Fuel 1,(1 Gas
System PI New
~ Forced Air
U Eiectric
Chimney Type 0 Chimney A
Heat Loss K ) As Approved
BTU Rate K ) As Per Plan
Category 500 - Residential-Heating & Ventilating
Plan
I 1 Oil
1 I Solar
1 I Solid
1 1 Electric
PI Replace
U Steam
I I Suppl.
n Other
() Chimney B
( ) Existing
( ) Direct Vent
U AlC I
I 1 Con. Burner 1
. Not Applicable
~~
U Radiant
I 1 Hot Water
( ) Variable
. Not Applicable
. Other
Value
--
Value
Use/Nature SFRI Remove and replace existing furnace and replace return air boot.
of Work
Fees: Valuation ç
Issued By: ~ J""-
$1,160.00
Plan Approval
$0.00
Permit Fee Paid
$23.00
Date 05/15/2006
0 Permit Voided I
Parcelld # 0606400000
In the performance of this work, I agree to perform all work pursuant to ruies 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 a easement, the City strongly urges the permit applicant to contact the easement
hoider(s) and secure neces7'U>' app 0 als befo e tarting such activity.
Signature L Date SrI :S - ù C.
Agent/Owner
Address
Oshkosh
~ 54904 - ~ Telephone Number
920-410-8858
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Penmit 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. 12. 2UO6 1:46PM
inspection services
Nu. 6624
P. ¡
~ CilrofOsblcooh
~~ DMsionon,-"",-
1I".4l. 2HCbwchA..-
1'080,1130
Osh..... wr >003-1130
OlH<Olfj 0..... _236-5050
~N'WAmI .~ m-23~--
Electric Installation Verification
I (We)
60LJM¿¿ Y/ E/e¿.fr-z 'è ¿¿C-
(Electrical Contractor Name)
C¡ I tf tJ. 1,1 'd:: ~
(Address)
()dkÞsÁ-
(City)
(-J I
(State)
'5 '-! ¡¿; ~
(Z;p Code)
have been contracted to perfOIIIl electric installation work fur
'.
(Name of party contracted to)
at the following address: I \ S:;2. ~ \ l +'--. 'A.o e.
(Address where worle will be perfOIIIled)
The nature of the work consists of (Check One or Describe the Nature of Work)
4 Reconnection or new CÚ"cuÍt for replacement Heating Plant and/o;r AlC Condenser.
- Reconnection or new CÚ"cuÍt fo;r replacement Electric Water Heate;r or power vented
water neater.
- Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacle~
and lighting fixtutes due to sjding I soffit installation. Note: New Service
Entrance Cables w;1l requ;re a separate pennit.
- 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
ÍnilividuaJ systems in a duple¡o; or condourinium), including required service
electrical outlets.
Other
The value of this work is $
/50
I hereby verify this work w;U be peñonned by an employee of this company and further verify
the reconnection I installation wiJl be done in compliance with manufacturer and Electric code
requirements.
¡¿/
Ignaturc of Company Officer)
I! h ,,-4 15m..; rJ/l t:{ Y/
(Print Name of Officer)
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