HomeMy WebLinkAbout0120320 H
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OSHKOSH
ON THE WATER
Job Address 3871 SUMMERSET WAY
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No 120320
Owner WALTER J CALLIES
Create Date 06/29/2006
Category 502 - Residential-Both
U Electric
~ Replace
U Steam
U Suppl.
o Direct Vent
Plan
Contractor PREMIUM AIR INC
Fuel ~ Gas UOil
System o New
0FQrced Air U Radiant
U Electric =:=J I J Hot Water
Chimney Type ItLQ!!!mney A C) Chimney B
Heat Loss . As Approved o Existing
BTU Rate . As Per Plan o Variable
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
() Not Applicable
o Not Applicable
o Other
Use/Nature SFR 1 REPLACE FURNACE AND AlC UNIT. EIV PROVIDED BY PRE,IUM AIR INCIONE HOUR
of Work
Value
Value
Fees: Valuation $7,388.00
Issued By: ()y-yJ~
Plan Approval
$0.00
Permit Fee Paid
$116.00
Date 06/29/2006
o Permit Voided I
Parcelld # 1527340000
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
OSHKOSH
WI 54904 - 9794 Telephone Number 920-982-3323
Address 5165 GREEN VALLEY RD
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.
~
OfHKOfH
ON THE WATER
City of Oshkosh
Division oflnspection Services
2 J 5 Church A venue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
I (We) {} em IUm 1+1'( .j:f;C.jDIIP tbJl f
(Electrical ontractor Name)
,51&'5 6reen Vallet{- td Wltd7 . t.eJJ: 3/90 cj
(Address) (CIty) (State) (ZIp Code)
have been contracted to perform electric installation work forUlll1ef ft.,,'}]> /in/) f~Jhes
(Name of party contracted to)
at the following address: &1/ C:wx(YlersL.-I- ~ DshkrAA lJ1J;. 51 q()j
(Address where work ill be performed)
The nature ofthe work consists of: (Check One or Describe the Nature of Work)
1- 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 ofthe Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently 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
The value of this work is $
if
.
I hereby verify this work will be performed by an employee ofthis company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
(ldlo& [ ~.
lIif! Nic1o\e \N6r /;~'7{){P
(Print Name of Officer) (Date)
(Signature of Company Officer)
5/02