HomeMy WebLinkAbout0097258-HVAC (furnace) 6
CITY OF OSHKOSH No 97258
OSHKOSH HVAC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 949 WINDSOR ST Owner JOYCE BUEGE LIFE ESTATE Create Date 09/13/2002
Contractor TENTH STREET STATION INC Category 500 Residential- Heating Ventilating Plan
Fuel 1 ✓1 Gas 1 Oil 1 Electric Solar
Solid
System n New 1 n Replace I Other I
u Forced Air u Radiant U Steam 11 A/C I u Vent
1 1 Electric 1 1 1 Hot Water 1 1 Suppl. 1 1 Con. Bumer
Chimney Type 3 Chimney A 0 Chimney B Direct Vent 0 Not Applicable
Heat Loss a As Approved Existing 0 Not Applicable 1 Value 0
BTU Rate K As Per Plan Variable Other Value 75m btu
Use /Nature SFR/ Replace fumace. *EIV form from Drexler Electric.
of Work
Fees: Valuation $2,175.00 Plan Approval $0.00 Permit Fee Paid $38.00
Issued By: 1 Date 09/13/2002
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address 924 OHIO STREET OSHKOSH WI 54902 0 Telephone Number 236 -8770
69/12/2002 20:13 9202360150 TENTHSTREETSTATION PAGE 02
Ciry of Os.hi:.•sh
Division c f Irsr::t•r'u ;services
P.U. Box 5 1
Oshkosh, Al 5:790 +•I l;it>
Phone (92o, 736.5o50
Fax (920,
HVAC PERMIT
APPLICATION
;111 in'brmation after bold categories must be provided.
Incomplete applications will not be processed.
Apphea;i;tn( I and ice(s) can be brought to Ciry Hall, Room 205 or mailed to Inspection Services, 1'C) 130x 1128,
Oshku:)- Wi 54905-1128. Commencing work without permit(s) will result in fees being doubled or S i 00,00 plus the
nornia' l Ice. which c.•vcr ;s grerve7.
OR
;L rou Orr I_cu ,tru( ql:111c:IELIIIPILIII the Permit Account 5 .cr ,nt and hov• (r trr: r�l rr:,(Iy:, meek here
ien( „•e1 tlr:x +rr) crs d thr ;,ri: uour ac r 11,11 ►;1
913/2—
DATE
JOB ADI)!u E S:; 1 �r�^'1�5v/L
OWNER Jo y
CONTR:1 C ro,. rt rtf sr S` f/f /Ong /wt,
CHECK E.7 AL,( API' _1C'An1,F:
USE CATEGORY
filSingle Family DDuplcx °Multi- Family ❑Rental °Commercial °lndl strial
FUEL .711k;;, 01. rear: D
:Doti Soii;l SYSTEM °New
DSv1a:' �cl Ian t:
°Other
TYPE
Caromed Di tdiant °Sreum CAA: °Vent DElectric: °Not Water OSuppl.JCon. Burner
TS 13l':IN(; LINED 1 .No °Yes LINER SIZE
Note! All rh::, shall be Sinai Per tht IUTt.a's ;)sung vented. MANUFACTURER
CHIMNEl' TYI'l OChimnt:y A DC'hirnney 13 ebirect Vent °Other
HEAT 1.OS.S OAs; Approved Ixistin
T3TI RA'TF C7Not Applicable
DAs Per ,an J Variable 111Other Value _7 OM &i f.
DESCRIPTION OF ALL W'ORlc BEING DONE
VALUE (Including labor and all materials including light fixtures) Z' 4 7 s, OU I 38
x
ELECTRI( A►., c'ONTRAC'l'U>t
Electric Installation Vet farm nrtacl 't ;c:,;a«menl)
F..'ha.,,, ,1 imy il/at/on ornt• equi(,n,e,N rhnl( elm r.:,, n red re trn(,eN•.r,
3/o2
03/12/2002 20:13 9202360150 TENTHSTREETSTATION PAGE 03
Cloy otOshkosh
tti.i.im et spassisa tw.iu.
Chu.'w..a..
1011•4 190
Q i .t WI 349014 1IC
Kigyi Oft. 190.11144450
no. 1120,2301.110114
Electric Installation Verification
t (we) 1DRgXLE`re
(Ekctricat Contractor Name)
(au dV Ro FP PicKCir u', s
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for rirki 7 S -517
(Name of party contracted to)
at the following address: qq, f'�t
(Address where work will be performed)
The nature of the work consists of (Check One or Describe the Nature of Work)
a 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.
Reconnection of the Service Entrance Cable, Meter Box, alterations to roceptaclea
and lighting fixtures due to aiding 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 OT condominium), including required service
electrical outlets.
Other
The value of this work is S_249. 0
I hereby verify this work will be performed by an employee of this company and Anther veri
the reconnection installation win be done in compliance with manufacturer and Electric code
requirements.
12,41 o1 L D L e
inpeny Officer) 'f'1 D t
(Signature f Co
(Print Name of Officer) (Date)
sea
te'd WA API on T.AAf.- t t —.aiA