HomeMy WebLinkAbout0120737-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
Job Address 1036 DOVE ST
CITY OF OSHKOSH
No
120737
HVAC PERMIT -APPLICATION AND RECORD
Owner JAMES P/PAMELA L SEVERO
Create Date 07/24/2006
Category 502 - Residential-Both
l J Electric
o Replace
U Steam
U Suppl.
. Direct Vent
Plan
Contractor BLACK-HAAK HEATING
Fuel ~ Gas I ] Oil
System D New I
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type KJ Chimney A () Chimney B
Heat Loss KJ As Approved . Existing
BTU Rate D As Per Plan . Variable
U Solar U Solid
o Other
~ AlC U Vent
U Con. Burner
o Not Applicable
C) Not Applicable I Value
() Other ~ Value
Use/Nature Replace fumace and AlC - 3" chimney liner. EIV provided by Krueger Electric
of Work
Fees: Valuation $5,000.00
Issued By: 3Y"Y\lA)
Plan Approval
$0.00
Permit Fee Paid
$85.00
Date 07/25/2006
D Permit Voided I
Parcelld # 1601560000
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
PO BOX 3070
APPLETON
WI 54914 - 70
Telephone Number 920-757-9990
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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Electrit Installation Verification
(1) (We) __ .... ~ 15 Yl.A ("~ V" E ( Cl.-=-.+v,' <:... :c. c:.~
( ctrieal Contractor Name)
f If" 1 VI {1, r\ &e,,- b ro ~ k.. J!. dl. L I \ H7 e.. c'^-J-c. U r.. .5Y I t.( 0
(Address) (City)' (State) (Zip Code)
have been C:Ol'lrttlctt!ld to 'perfanu t,:lectric in.r.~.aUatl()n work for zJ\ m CW1ul r~M 5'-tv,{r Q
(Name of party contractoo to)
at tllt; following addrc~s: --'OoLe DD\'f; 0}-. ) os'hKOJV\
(Address where work will be performed)
The 113tUl'C ofthe work con.&ist,> of: (Check One or Describo the Nature of Work)
L Rcconnection or new circuit for replacement ReaM.g Plant and/or Me Condenser.
Reconnection or new ci:n::l.lit for rcplac~ment Electric Water Heater.
Rcconncct.iQo of the Service Entrance Ca.ble; Meter Box. alterations to receptacl~1: and
lighting fixtures due to sidmg.l soffit installa.tion, Note: New ~crvice Entrance
Cable", will require a separate permit.
Reconnection or new circuit tor oth&' permanently wired appliances I fixTUres.
Otber
The vallie:: ofthis wotkis $600. Cf)
.II H 2..4.1illl6..
DEPt\RTMENT OF
r:nr11MUN!TV ru=vr.! OPMHiT
I h~reby yerify this work willbc perfonned by an employee ofthis companY"a6C11t~~ vb:"i1Y tJre=! ~
r~connection / illsmlJalicm wIll be done in compll2lJ1cc with manufacturer and Ele9tric code
requirements.
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(Sip;nilWrc o~m . y Officer)
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(Print Name of Offic
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