HomeMy WebLinkAbout0121322-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address 450 JOSSLYN ST
Contractor MARK WEBER HEATING & COOLING IN II
Fuel / Gas Oil
System ®New ~ li
/ Forced Air Radiant 'I
Electric Hot Water
Chimney Type Chimney A Chimney B
Heat Loss As Approved Existing
BTU Rate As Per Plan Variable
Use/Nature FR / INSTALLING A USED FURNACE AND DUB
of Work cct
Fees: Valuation $1,000.00 Plan
Issued By: ~~ W
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No 121322
Owner BOARD OF REGENTS UNIV OF WIS SYS Create Date 08/30/2006
Category 500 -Residential-Heating & Ventilating Plan
Electric Solar Solid
Replace ~ ~ Other
Steam A/C Vent
Suppl. Con. Bumer
Direct Vent Not Aoplicable
~ Not Applicable ~ Value
Other Value
EIV PROVIDED BY ELECTRICAL CONSTRUi
$0.00
Permit Fee Paid $25.00
Date 08/30/2006
Permit Voided
Parcel Id # 1608820000
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 1075 ISLAND ESTATE CT ,OSHKOSH _ WI 54901 -0 Telephone Number 235-1523
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 readyat 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.
~-UG 3 0 2~~
cityorosnkosn
Division of lnspeetion Sei
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
O H~ WAIER Fex 920-236-5084
Installation Verification
I (We) ~=' 1. tS~~ 1:0~:,~.>r ~~c[Ck~ ~,-~~ ~i c C ;~:~: ti 1rtil.~ .
(Electrical Contractor Name)
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`' ~ ` ! •- ~ ~''~ 7G`.
(Address) ~ ~ (City) (State) (Zip Code)
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have been contracted to perform electric installation work for ~~112v~~ d~7w`v,~~G-'000~.t,~
(Name of party contracted to) in/C'~
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at the following address: _ ~_ ~ ~ f~ y/Il.~
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
i
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric.: Water Heater or power vented
water heater. j
Reconnection of the Service~Entrance Cable, Meter Box, alterations to receptacles
and lighting fxtures 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 A/C to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets. j
Other
The value of this work is $
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection /installation wilh be done in compliance with manufacturer and Electric code
requirements. j
* .~ ~,,~ ~
(Signature f ompany Officer) (Print Name of Officer) (Date)
5/02