HomeMy WebLinkAbout0100150 HOSHKOSH
ON THE WATER
.lob Address 413 E LINCOLN AVE
Contractor A-1 HEATING & A/C INC
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner GLORIA M EIDEN LIFE ESTATE
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss IO As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
100150
03/11/2003
Other
Vent J
Use/Nature SFR/Boiler replacement, Job #1370. *EIV from MR Teas attached.
of Work
Fees: Valuation
Issued By:
$3,739.40 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$62.00
Date 03/11/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address W8078 HILLCREST COURT HORTONVILLE WI 54944 -0
Telephone Number
(920) 779-8838
OSHKOSH
ON THE WATER
Job Address 413 E LINCOLN AVE
Contractor A-1 HEATING & A/C INC
Fuel ~ Gas ]
System ~ New
b~ Forced Air
LJ Electric
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Chimney Type ~.~ Chimney A
Heat Loss ~I As Approved
BTU Rate ~ As Per Plan
Owner
Category
GLORIA M EIDEN LIFE ESTATE
500 - Residential-Heating & Ventilating
LJ Oil I [] Electric
I [] Replace
L~ Radiant J LJ Steam
E~-Hot Water ] [~ Suppl.
Solar
Nc
~-Con. Burner
Chimney B ~ Direct Vent ~I Not Applicable
O Existing (_.~ Not Applicable
~ Variable O Other
FFR/
No 100150
Value
Value
Create Date 03/11/2003
Plan
I ~ So,id 1
[] Other_
b~ vent
Use/Nature
of Work
Boiler replacement, Job #1370. *EIV from MR Teas attached.
Fees: Valuation
Issued By: /
$3,739.40 Plan Approval $0.00 Permit Fee Paid
$62.00
Date 03/11/2003
[] Permit Voided
In the performance of thisjFcork, I a~e to perform
Signature
Address W8078 HILLCREST COURT
all work pursuant to rules governing the described construction.
Agent/Owner
Date ,,,~//0 ..~
HORTONVILLE WI 54944 -0 Telephone Number (920) 779-8838 ;
:91,50 ,.~ 0100. O0 yal~/on ~ ~ C
925,000,00 ................... ~ · -"--~ ......... ~.Szos.oo pl~ O0.SO
:.
Electric InstnllotJon VertfleutJon
(Electrical Con~rnetu~ Name)
(Ad.ess) (Ci~) (8~)
h~vc ~ cm,Uact~ tO p~tb~ electric Jns~Jafion ~k for
at ibc Following ~dr~: _..~ ~ ~_~.w .__~/~ ~~~ _~
(Ad~ess wh~e ~rk wiU b~ p~~
Thc naive oflh~ w~ ~mi~{ of: (Ch~k One or D~i~ ~e Nat~ of Wo~)
, ~ R~t~ or new cim~l tbt topJ~emmt HeaUng P~t ~~C Co~t.
R~on~ti~ or n~ ~ui~ for ~lac~.nt Elec~ic
....... R~.nec~o. or ~ cimuit for lite ~{~l ofoth~ p~tiy wired
..... New circuit for the addiliun oF ~C to ~ ,ndi{,M~t d~tltng unit (~c or
individual s~ten, s in a d~t~ ~ eon~mini~), incl~in8 ~u~
elec~ical outlets.
Other
(Zip C ie)
(Print Name orO~ccr)
~~~ MELVIN TtMM
Appleton, Wi 54~14
(920) 830-~077
Thc vul~m of this work is $ .........
l he.thy v~rif'y this work will he ~mrformed by tm.e0mployee o.[ thim comfy ~ ~ v~
{he r~otmecJion in~t~latio~ wilt be done i~ ~Ji~e wi~ m~uf~tut~r ~ EI~ ~
M.R. T~8 INC:-
t ~9 W. C~lege A~.
,App{e!~, W~ ~914