HomeMy WebLinkAbout0104090-HVACOSHKOSH
ON THE WATER
.lob Address 2905 W 9TH AVE
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
RASMUSSEN'S HEATING & A/C INC
Oil
Owner EXCELL HOMES & REALTY INC
Category 502- Residential-Both
L~ Electric
Replace
Forced Air I ~J Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B O Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
104090
07/07/2003
Other
Vent J
Use/Nature NSFR/Install furnace, A/C & ductwork.
of Work
Fees: Valuation
Issued By:
$5,220.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$84.50
Date 09/10/2003
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 5154 DAVID DR OSHKOSH WI 54904 -8850 Telephone Number
920-235-6569
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.
· 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. Co,-..mclng work without pm-mit(s) will result in fees being doublexl or $100.00 plus
normal pei~-a/t fee, wh/ch ever/s greater.
OR
If you are a contractor particioatin~ in the Permit fee Account System and t~ave udeqnate funds, check here
ff Vou want this processed through your account
DATE
JOSADmtESS 2q05
L:H s:CK I~! A!.I- APPLICAI~I~
US~E CATEGORY
~$ingle Family EIDuplex CIMulti-F~fily [2Rental [2Commercial rlIndu~trial
ElOil [2Sohr [2Other
Elliot Water i-iSuppL
& MANUFA~
~D/rect Vmt
ElNot Applicable
ElOth= Value
DOther
[~Con. Burner
DESCRIPTION OF AI'0L WORK BEING DONE ~'n~ta~-ton o~ ~,vr~acc ,
~.~..CTP, ICAL CONTRACTOR ~ ~J~ O m m ~r
a For applicable ~ an Eleoh~ ~ V~on fo,.m, sigued by the EleeUicul CouWactor. nms~ be