HomeMy WebLinkAbout0084083-HVAC (furnace & a/c) C CITY OF OSHKOSH N 84083
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2695 MONTCLAIR PL Owner JOHN R ACKERMAN Create Date 12/12/2000
Contractor TENTH STREET STATION INC Category 502 - Residential -Both Plan
Fuel ✓j Gas 011 Electric Solar Solid 1
System r New ✓ Replace Other
VI Forced Air — Radiant _I Steam ✓ NC I Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type K ) Chimney A • Chimney B ( ) Direct Vent O Not Applicable
Heat Loss ' ) As Approved • Existing () Not Applicable Value
BTU Rate `) As Per Plan () Variable ` Other Value
Use /Nature SFRR / REPLACE 75,000 B I U FURNACE AND 2 ION A/C
of Work
Fees: Valuation $2,852.00 Plan Approval $0.00 Permit Fee Paid $48.50
Issued By: 3013 Date 02/06/2001
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 924 OHIO STREET OSHKOSH WI 54902 - 0 Telephone Number 236 -8770, MOBILE
HVAC Pernik Work Card
Job Address •(•? ! p 5 0+ -74- j Pt Permit Number Croats Date 7 /0/dz ,
Owner J 0/4 A c K P r - mari Contractor i Mi i 51 ) 57 i A„ r.
Category 5 , Plan
Fuel 1713W 1 11' tiectnc] ) Solar 7 Value- 7.6). °v
System ( Nevi ep Other 1
Ls t-orcen Aw 6.J ream ent J U Steam J LS A/C 1 L vent
tlectnc 1 j Hot Water 1 [ J Suppl. 1 Con. aumer
Chimney Type 1111`, ' e !ire" ' en • o pp ,ca • e
Heat Loss s pprove• ' Is mg o pp Ica• e Vatus
BTL) Rate r , As Per Plan Q Variable a Other I Value 15;ao0 - MH.na�
use/Nature
or Work I �. kbcc. Glt i s-f+y� 15 in c< c.YOE z ten A/G
e • X33.
MAR- 01 -20 @1 07 45 MY ELECTRIC CORP. 920 232 8900 P.01
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Electric Installation Verification
(I) (Vile) MY Electric Cnrp�
(Electrical Contractor Name) - Y
1512 Rugby St. Oshkosh WI 54902
(Address) (City) (Stag) (Zip Code)
have been contracted to perform electric installation work for Tenth 'Street . Station
(Name of party contracted to)
at the following address: 2 9' 5 Q o 7 f a (�
• (Ad ess where work will be performed)
The nature of the work consists of: (Check `erne or Describe the Nature of Work)
X Reconnection or new circ fit for replacement Iieating plant:and /or A/C Condenser.
Reconnection or new circuit for replacement Electric Water. Heater,
Reconnectiono t e ' ce E Cable; Meter Box, alterations to receptacles and
lightingfixhues- due -to- siding/ soffit installation. Nate: New Service Entrance
Cables wilt a separate permit
Reconnection or new circuit for other permanently wiled appliances] fixtures.
Other
The value of this work is S. 100..00 _
I•hereby verify this work will beper fortified bparremployee-ofdiis company -and further verify the-
reconnection / installation -wi I.be -done- in compliance with manufacturer and Electric code
requirements.
eM
,� Eric Youngbauer 3 / I /200)
(SignaturY Officer)_ (Print Name of . (Date)
TOTAL P.01