HomeMy WebLinkAbout0133580-HVAC (furnace)/~ CITY OF OSHKOSH No 133580
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 401 E PARKWAY AVE Owner MICHAEL R SCOTT Create Date 10/17/2008
Contractor ANDERSON HVAC LLC Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar Solid
System ^ New ^/ Replace ~ Other i
/ Forced Air Radiant Steam A!C j Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimne B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature
of Work
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $55.00
Issued By:~"~~ Date 10/20/2008
^ Permit Voided
Parcel Id # 0404470000
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 3454 JACKSON ST STE C OSHKOSH WI 54901 - 8143 Telephone Number 920-410-8858
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.
HVAC PERMIT APPLICATION
Steinike, Sandra
From: HVAC PERMIT APPLICATION [Permit_App_HVAC@ci.oshkosh.wi.us]
Sent: Thursday, October 16, 2008 11:45 AM
To: Steinike, Sandra
Subject: HVAC Permit Application
HVAC PERMIT APPLICATION
Date:10/16/2008 11:44:54 AM
Permit Fee Account
System:
Job Address:
Owner:
Contractor:
Use Category:
Fule:
System:
Type:
Is Chimney Being Lined?
Chimney Type:
Heat Loss:
BTU Rate
Description of all
work being done:
Value (Including labor
and all materials
including light fixtures):
Master Elelctrician:
YES
401 East Parkway
Mike Scott
Anderson HVAC LLC
Single Family
Gas
Replace
Forced Air
No
Liner Size:
Manufacturer:
Direct Vent
Existing
Other:
Page 1 of 1
Replacing the existing flood damaged furnace with a new Payne
furnace of equal Eff and BTU's. Zimmer Electric is doing the line
voltage wiring.
3000.00
Scott Zimmer, Zimmer Electric
10/16/2008
Oct 20 08 08:21a
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Zimmer Electric
Ctlr ofOshkoa4
Di+bion ofltespeetion Services
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O~kash A'f 54903-1 I30
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19206852387
Electric Installation verification
I (We)
~~ '~~~~Y rC ~rf3c .
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(Electrical Contractor Name)
(Address) (City) (Slate) (Zip Code)
have been contracted to perform electric installation work for ~`~" %~' ~ =.,i :~s-' ~c%` ":~%
(Name of petty contracted to)
at the following address: ~~~ ~ ~ . ~ a r +~ ~' ~Y~ ~~
(Address where work wiIl be performed}
The nature of the work consists of: (Check One or Describe the Nature of Work}
~~ Recorrmection or near circuit for replacecneut Heating Plant andlor A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vested
water heater_
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and. lighting fixtraes due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit
Reconncction or new cu~cuit for the replacement of other permanently wired
appliances /fixtures.
New circuit for the addition of A/C to an individual dwetlrrRg unit (house or the
individual systems in a duplex or condominium), including required sezvice
electrical outlets.
Other
The value of this work is ~ %~ ~ '~
i hereby verify this worts will be performed by an employee of this company and further verify
the reconnection /installation will be done in compliance with manufachu+er and Elechic code
requirements.
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.~~,., %/r%'/!~` .i ~ `% ,/~, ~ ti ~!~ ~ ~'~.r±,. 1. ~!' J .'~ ~~r )/'. ~i.,~
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(Sign2ture~ ompany Oiiicei) (Print Name of Officer) (Date)
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