HomeMy WebLinkAbout0100951-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1290 MARICOPA DR
Contractor RASMUSSEN'S HEATING & A/C 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 WILLIAM V/BEV A ARMSTRONG
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA O Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
100951
04/23/2003
Other J
Vent J
80,000
Use/Nature SFR/Replace furnace & A/C* EIV from Slim's Electric attached.
of Work
Fees: Valuation
Issued By:
$4,894.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$78.50
Date 04/23/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 5154 DAVID DR OSHKOSH WI 54904 -8850 Telephone Number
920-235-6569
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5O84
HVAC PERMIT APPLICATION
All information after hold categories must be providect
Incomplete applications will not be processed.
Olxl THE WATER
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
!f Vou are a. contractor participating.in, the Permit. fee ~Ccount Swtem and.have adequate _funds, check here
if you want this processed through )~our accottnt
CONTRACTOR.,,,
HVAr_-
DATE.
CI~CK I~I ALL APPLICABLE
CATEGORY
EISingle Family []Duplex [-IMulti-Family l~Rental
mCommercial
I-lIndustrial
FUEL I~Gas EIElectrie f'iSolid SYSTEM [New
f'lOil rlSolar i"lOther
g~l~eplaee
~0~ed~ r'IRadiant EISteam E~MC [Vent ~Electric
IS ~Y BEING ~ I~o I-lyes - LINER SIZE
Note: All chinmeys shall be sized per the BTU's being vented.
~¥ TYPE
~i~.. &T LOSS
[]Hot Water I~iSuppl.
& MANUFACTURER
E1A~ Approved l=INot Applicable
~]As Per Plan EIVariable [~'Other Value ~,Odo
[]Con. Burner
DESCRIPTION OF ALL WORK BEING DONE
VALU~ (Including labor and an materials including Hght fixtures)$ ~ ~/,
L .CTR .CnLCOm Wero
attacla~l. ~-not attached or not appli0able, a separate Ele~rioal Permit is
Electric Instnlhtion Verification
I (Wo)
,$'t ~ ~'~. ~tc~+r~:~,
(Bl~olrioal ~mc~or Name)
havo l~n conlaM~ to pca~onn cl~Jtrio inslallafion woEk for /~:~,,u ~s~.~'~
(Addren whm*e wo'dc will be
The nature of the work oonsiS~ oP. ( .(~heck One or Desc~ the Nature of Work)
. _ ~ Recimaeofion of the g~rvi.ce F. alranoe Cable, Meier Box, alierafiom M receptacles
and lighting fixlams due to ~ ! soffit imiallagon. Note:. New Servic~
..... Reeann~v~n or n,w oircuit for lb, rq)~ ofofl~ t~nmnmtly ~
The value of this wo~ is $