HomeMy WebLinkAbout0104092 HOSHKOSH
ON THE WATER
.lob Address 1405 OHIO ST
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
RASMUSSEN'S HEATING & A/C INC
Oil
Owner RICHARD G SHEPARD
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 O Chimney B ~) Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved O Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
104092
09/10/2003
Other
Vent J
Use/Nature SFR/Replacement furnace & A/C. *EIV form from Slim's Electric.
of Work
Fees: Valuation
Issued By:
$6,134.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$98.00
Date 09/10/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 5154 DAVID DR OSHKOSH WI 54904 -8850 Telephone Number
920-235-6569
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
P.O. Box 1130
~AC PE~IT ~PLIC~~
s Appli~on(s) ~d ~(s) ~ ~ ~t ~ ~ H~, ~m 20~ or ~iled to ~on ~ PO Box 112S,
O~lh ~ ~]-1128. Coinii~ [k ~ ~s) ~I ~t ~ ~ ~g do~l~ ~ Sl~,~ pl~ ~
no~ pcm~r fee, ~cb e~is ~.
OR
If ~ou are a contractor uartici~atia~ ia t~e Permit fee ~ccouqt ~F~tem ~nd ~ave adequate fund~, C~eCk h~re
ifvo~ ~ant til~ oro~esxed thr~k ~our acrount .~ ...
t:Hs:CK [] ALI. APPIZCABLE
~S.mglCATEGORY
e Family rlDuplex rlMulti-Family r'lRental rlCommerdal f-Ilndustrial
FUEL E]Gas EIElecUic [~$olid SYSTEM
rlOil [ISolar
DF-,SCRIFFION OF ,~l.I. WORK BEING DONE
ODhcot Vcnt
ElOther
EIHot Water E1Suppl. nCon. Burner
& ~Ac'rtat~ F/cxJ~.~r
Electric Installation Verffieation
attUefonow~ess.' Iq~50h;o S~-
(Addr~ where wmrk will be
Re~mneciiom ~ new oh~ait fl~r replaceme~ Electric Water He, ator or power vcnt~
wa~heater.
Reconnection ofth~ Service Nnlrance Cable, Meter Box, alterations to receptacles
and ~ fixtures dne to siding / so.qliinslallafion. Note: New Service
En.~ce Cables wffi req~'e a setmr~ ~
R,~omlecfion or mrel circuit fro' fll~ replacement of other p~manc~ly wired
applianc~ / fixture~.
Tho yaluo ofthis work is $ (~$0~°°
hereby verify this wo~ wffi bo pcrffmmcd by m cln~loy~ of this ~y ~ ~er v~
q~8-o3