HomeMy WebLinkAbout0100896-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 30 E WAUKAU AVE
Contractor TENTH STREET STATION INC
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner DANIEL R KRATZKE
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B O Direct Vent ~ Not Applicable I
Heat Loss ]~ As Approved O Existing ~ Not Applicable ] Value
BTU Rate ]~ As Per Plan ~) Variable ~ Other ] Value
No
Create Date
Plan
L~ Solid
100896
04/22/2003
Other J
Vent J
Use/Nature SFR/Install 75,000 btu furnace, 1 1/2 ton A/C and new duct system in house that had electric heat system.* EIV from Drexler attached
of Work
Fees: Valuation $5,800.00 Plan Approval $0.00 Permit Fee Paid $92.00
Issued By: Date 04/22/2003
Permit Voided J
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
04/20/2003 20:08 9202360150 TENTHSTREETSTATION PAGE
City of Oshkosh
Division of' h'..sV¢cl:or) Services
P~O. Box t ) 30
Osl~kosh. WI 5190[-1130
Phon~ (920~ 236-5050
Fax (920) 2~:6-50S4
HVAC PERMIT APPLICATION
All information after bold categories must be provided
Incomplete applications will not be processed.
· ApplicationCs) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-I 128. Commencing work without permit{s) will result in fees being doubled or $100.00 plus the
nomlal pcmv~: fee, which ever is greater.
OR
I~ a co~;tractor port.(Ctl).atinR tn the Permit fee Account System qnd~hgve acteott;te £und$... check here
~.~.yo. waC'ti t'~ti~jzrocex$ed through your accoun~
FTC,
CHECK I~ ALL APPLICABLE
SE CATEGORY
ingle Family FlDuplex I-1Multi-Family r'lRental
r'lCommercial
FIIndustrial
FUEL ~13 a, F1Electfi¢ ElSolid SYSTEM ElNew
~Oil FISolar nOther
{~eplace
TYPE
[]~lForced Air El.Radiant FISteam ~IA/C nvent FIElectric FIHot Water nSuppl.FICon. Burner
IS CHIMNEY BEING LINED ~No ~Yes - LIN"ER SIZE
Note: All chmmey$ shall be sized per the BTU's beJl~g vented.
& MAN'UFACTURER,_
CHIMNEY TYPE FIChinmey A [3Chimney B ']ffiDireet Vent nOther
HEAT LOSS IDAs Approved g3Existing F1Not Applicable
BTU RATE IDAs Per Plan nVar~able nOther Value '7~. 00o ~,,.xIl& }t,.t~
' t'Z
DESCRIPTION OF ALL WORK BEING DONE .!~s+el.~ ~t4r_~,*~-../~/t/amd ~to' d~
VALUE (Including labor and all materials including light fixtures) $ ~'_~, O0 ~" '?'-,~',ff'. ~
ELECT~CAL CONTRA~OR ~ ~~ OR ~Electflc ]Installation Ve~fieatlon form aUathe~lrR~la~O
Electrical installation of n~/~loce~nt ~ipmgnt sh~l ~ dong ~ ltcens~ conr~ctom.
84/28/2883 28:88 9202360150 TENTHSTREETSTATION PAGE 02
Electric Installation Verification
(Electrical Conjuror N~e)
(Address) --(City)
(State) (Zip Code)
have bo= con~acted to perfo~ electric inst~lafi~n work for ~~ ~~d~~
~e ofp~y con. acted to)
at the following address: ~O ~ ~ ~ 0[~
(Address wh~e work will be p~fo~ed)
~e nacre of~e wozk consists of: (Ch~k ~ ~ Des~be the ~amre of Work)
~ R~o~ection or new circuit for r~lac~ent Heating Pl~t ~Wo~ ~C Condenser.
~ Reeo~ecfion or new circmt for repl~ement El~tfie Water Heat~ or pow~ veated
wat~ heater.
~ Reco~eetion of the Se~i~ En~ee Cable, Meter Box, ~t~ations to rec~taeles
~d li~t~g fix~ due to si~ng / so,fit installation. Note: New Se~iee
Ent~ce Cables ~11 require a sep~ate p~it.
Re~ection or new ci~uit for the r~l~ent of other pendently wi~
app~ces / fixture.
. ~ New ci~mt for ~e ~difion of MC to an in,vidal ~dling unit ~ouse or ~e
in~du~ s~t~s in a duplex or condomi~), inclu~ng tequk~ a~iee
el~e~ outl~.
Oth~
The value of this work is $ ~41C>, ~
I hereby verify this work will be perfmmed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
(S~gnature of Company Officer)
(Print ~Name of Officer)
-tl-o3
(Date)