HomeMy WebLinkAbout0082735-HVAC (furnace)
..
G
OSHKOSH
ON THE WATER
Job Address 1122 HURON AVE
CITY OF OSHKOSH
No 0082735
HV AC PERMIT - APPLICATION AND RECORD
Owner GEORGIA A JUEDES
Create Date 11/01/2000
Category 500 - Residential-Heating & Ventilating
Plan
Contractor MARX HEATING
I 1011
I
I l::lectnc
System
1v'1 Gas
lTNew
I::] I-orced Air
I I Electric
Chimney Type . Ghlmney A
I ::iolar I ::iolJd
[!TOther
U NC U Vent
I I Gon. Burner
( ) Not Applicable
Fuel
I v' I K.eplace
U ::iteam
I I ::iuppl.
( ) Ulrect Vent
BTU Rate
r ) As Approved
( ) As Per Plan
l.-J Radiant
I 1 Hot Water
( ) Ghlmney B
. l::xlstlng
( ) Variable
( ) Not Applicable
. Other
Value
Heat Loss
Value 100,00
Use/Nature ;:>r" I ,~, ...."...,~ . v,,,.. ,..."
of Work No electric permit required-received installation verification signed by T Ruck Electric)
$1,838.00
Plan Approval
$0.00
Permit Fee Paid
$33.50
Fees: Valuation
Issued By:
ShlS
Date 11/06/2000
U Permit VOided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
AgenUOwner
Address
o
-0
Telephone Number
J.. ,"
"_1 '
&..
..
... ..~_.
Oi';i3iO~ .of Insp~ct:i".,n Serti<:;~.9
n;;Ch\lr<;~Aven'-le
ll'.Q, B9X1PO. .
o_hkosb. ~t S4903:~130
V~.J (9201 2~6-S084
Phone {!J2.01 ;U6-$048
t..1l
. ". '.- ..' . .
fiel<ls/ in~:'~;.~~~~lfJ::;;~::?1:b.#rovided.
. Incomplete app~iqatrotl$wi11not be p'Cocesse~~.. .... .
". . .... '. "D'A"'."; ..". '.' ':'. .tQ'. ......: 2 OJ. ':00
." . .. ......IoiJ . ._ . ? _..,_...--.....-.---
.~fJ:~.AfJt;.:.:......
.,," .... .-"..,,"
\\~;Jiit''!,~I~f- ... .
30'S A:DDRESSJ ~~. .
OwNtR '~~~p,
CON'1'RAC'1'bRM~'&
. SYSTDl
. .
aIReLa ALL APPL:I:C,A,;8t.E '.
USE' CATZGORY ~A,i~' PtiU~LEX.>~u~'I'I~FAM1LY: .
FUEL' Q. GA:) . OIL . .~tECTRic'" soLAR
~...............
-._". ...... -"". .. .
NEW 'R~-~~~:'" ..... '.OTHER:
~~.~ Riiil~" .'. ;;TEAM'
ELE&rilC
COf;1l\o'i'ERCIAL
INDUSTRIAL
. . . .'
'.$Or.i:O.
np~
A{e
VENT
. .
I9cHt~' taSING .'INBD tJO
Note : Ail chimneys lIhall.
HOT ~WAT~~<<SUJ?PL . CON . BURNER
. .. ....~~~;S;._b. :._'~~ ,p. ".~.i.,..;n.:.gv.n".. ,~"C'I'tiRER_
;' ". .~..Ol~~rfyitNT: . OTHER
AS Al?PROVED '.' .......':;tSt'tNG . . . ...... . NOT' AlPLICABLE
ASPER' PLAN .' . "'''~I~tE' '.Qt~~l*,ALtiEJ()~ 000 .
alIMN1lY . TYP~
. H2A-r LOSS
. BTtJ RATB
NAToRBOF WORK: RULMf FU~~"Wi1r\tfNNOX"~~4E-[OO
. .' .
. ", . -.' ",
. .
. ". .
iit;*iri:~i~~:.ha1~'.~'~~.'~}
contractors- . .' "." .'
licensed
Valuat10n
$0 to $i,oao .OO____.___._~ .; ,:
. '. {tees
.oft ':l" -'l .
'.',~.....il.
...~ . .~ "r::",
.~$20.00
. .
.' ".
$1,000.01 to $10,000 ~ OO$"~70(;&~~~'~lJ~'::"'$i}.'~tl.~."ti;f>:'2~~~~t~t~~oo~O~a~~r~~ereOf, '.
j .. .' , .
$10,000 .01 to. $i5, 00<>. ;~O . 0(jQ;~01>'iu.i'~~(06Per'$1~6:0~~;~.;0;r !;~r~ i~:"eof .
_., '0'>
It"
: ." .". .
..,.:--""'-----....:..-..~~; ":
.:~#.:\.~.--:>.:-.~':-.. ,;~~:.:_~.,~._r. .,.....;_.,
.:... '"
. "'>c.:-""
~.
fl!: r# '.'
........ '.:.".~'.
...i'....~:l n'. 'ni"'-'
: .?- ~
.... ,,'is.'" . ..,.
.. ~:,'t
.(t)
OJHKO.fH
ON THE WATER
City of Oshkosh
Division ofInspection Services
215 Church Avenue
POBox 1130
Oshkosh WI 54902- , 130
Office 920-236-5050
Fax 920-236-5084
Electric Installation V erifica~ion
(I)(welT fie/( ElefZ--t-IP/e, ~le.
(Electrical Contractor Nartte)
&''10 iV. 3~ HVE. Ou~4 Iv/
(Address) (City)' , (State)
JJYY~~
, (ZIp Code)
have been contracted to perform electric installation work for
at the following address: I / CJ ~
-J/(j RDvV
(Address where work will beperfornl.edj
The natureofthe work consists of: (Check One or Describe the Nature of Work)
L Reconnection or new circuit for replacement Heating Plant and/or NC Condenser.
Reconnectionor new circuit for replacement Electric Water Heater.
Reconnection of the 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 other permanently wired appliances I fixtures. '
Other '
The value ofthis work is $ /.-)~qp
I hereby verify this work will be performed by an employee of this company and further verify the
reconnection I installation will1>e doneillCOIl1pliance with l11anufacturerand Electriy code
requirements.
Ci)/7~t v~R
(Print Name of Officer)
jU/l-5uloo
/ (Date)