HomeMy WebLinkAbout0143417-HVAC (furnace) 10 CITY OF OSHKOSH No 143417
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 430 W 10TH AVE Owner MARTIN WELLS /COLRETTA DAWSON Create Date 10/04/2010
Contractor BETTER HOME HEATING & AIR CONDII Category 500 - Residential- Heating & Ventilating Plan
Fuel �✓ Gas U Oil u Electric U Solar U Solid
System ❑ New 0 Replace ❑ Other
L✓j Forced Air u Radiant J Steam u A/C u Vent
U Electric Hot Water L i Suppl. U Con. Burner
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss L) As Approved 0 Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use /Nature SFR / Replace furnace. EIV signed by Kollman Electric.
of Work
Fees: Valuation $3,100.00 Plan Approval $0.00 Permit Fee Paid $56.50
Issued By: C Date 10/04/2010
❑ Permit Voided I Parcel Id # 0906240000
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 1054 AMERICAN DR NEENAH WI 54956 -1305 Telephone Number 920 - 733 -2161
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.
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10/03/2010 19:49 9202737965 KOLLMANN ELECTRIC PAGE 01/01
Cary of Oshkosh
Division oringpectjon Services
213 Church Avenue
PO Box 1130
Oshkosh Wt 54903.1130
Ka .∎.„ j Office 920.236 -5030
Fax 920 - 2364084
Electric Installation Verification
1 (We) 4 Is //Piasi r ec 7/- • 1 z c .
(Electrical Contractor Name or Homeowner's Name)
PC 2 - U AOO (Address) y`�7
(City) (State) (Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
- 3 _ G(/ (D 74/ Y. • i. rf /I / AL s / ca, 7; r
(Address where work wil / be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
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 receptacles
and lighting fixtures 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, including
required service electrical outlets. Note: Homeowners can only do their own
electric on a single family owner occupied home. Work on a condominium,
duplex, rental, or multi -use building would require a licensed Electrical
Contractor.
Other
� v
The value of this work is $ `7S
I hereby verify this work will be performed in compliance with the License requirements of
Section 11 -22 of the Oshkosh Municipal code and further verify the reconnection / installation
will be done in compliance with manufacturer and Electric code requirements.
f // g _f_z_ Ak /1C-Piirovn,.. /L..)- 46'--90
(Si of Company Officer or i•�orpcowper) (Print Name) (Date) .
07/07
Received Time Oct. 4. 2010 8:45AM No.3077