HomeMy WebLinkAbout0101140-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 215 E GRUENWALD 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 DAVID L KUHNZ
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ 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
101140
04/30/2003
Other J
Vent J
50m
Use/Nature SFR/Replace furnace with sealed combustion 80 % furnace. *EIV form from Drexler Electric.
of Work
Fees: Valuation
Issued By:
$1,605.10 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$30.50
Date 04/30/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 924 OHIO STREET OSHKOSH WI 54902 -0
Telephone Number
236-8770
04/29/2003 81:58 9282366158 TENTHSTREETSTATION PAGE BI
~.0. Box ;)] ~
OM~ko~h. ',vi ~4o.) .'.~ l 150
PhOne (920} 236-~050
Fa~ ('20~ 2~
HVAC PERMIT APPLICATION
All in!'ormahon after bold calc§orics must be provided.
Incomplete applicati'o~l$ will not be processed.
· Apphca:i,m~.~ and lie(S) c:,n be brought to CRy Hall, Room 205 or mailed to Inspectiov Servic:cs, p() Box 1128.
Oshkoab ~.'~ 54903~1128. Commencing work without pcm~it(s) ,viii result m t~s being doubled o?' S~00.00 plus the
~orma~ l'crm~: ii~c, which ever is grea~er.
OR
~[ ~:ou a~'~'~Lc(~.i,~tor participating in the Pe,'mi~ee Accozfnt SVsre~ ond havff adequat~'ld,~.5.' check here
~~d~ddl~ Lproc~:'~'sed [h~c;t~l;-vour ac'court: ~
DATE ~~
(:BECK El AI.,I, AI"i'I..I('..%i~I~E
USE CA'f'EGOR¥
[~Single F'ami]~ E31')uplex
I'-lMulti-Family F]Rent~,l nCommcrcial Eilndusn'ial
FUEL ~]a, r'3Elcctnc ~Soiid SYSTE.M IDNew ~Rep. hw~:
~Oil ~Soiar ~Other
TYPE
~Forccd .~.i.. ~]R ~dian; ~Steam ~z~C ~V~nt ~Electdc ~th>t Wa~er ~Suppl.~Con. Burner
IS CtlI3.1Nf.TY B EISG I,[NEI) I1N,:', UYc,,4 - LINER SIZE
CI'IIMNEY TYPE ~(."himncy A ~Ci~imney B
[J~AT 1,0SS ~As Approved ~Exisfing
BTI: ]{A'I'E OAs Per Plan OV:u'iabJe
& MANUFACTURER ...................
12Direc! Venl F]Othcr
IZINot Applicoble
DESCI,HI'I l,;,:x OF ALL WORK IIEhNG I)ONE _i~._4:g_~=~- '~rvX ~q,'~-.~ tt~"~t.., .(-.~J___~Vj,~,~,x.'
VALUE (Including labor and all materials Jndudiog liffh, t fi×t,,res)
ELECT1U ('Al.. ~ :ONTRAC'FOR~. O._~R .i'~'.lectri¢
04/29/2003 01:58
9202360150
TENTHSTREETSTATION
PAGE
02
Electric Installation Verification
(we)
(~lectrical Contractor Name)
(Address) (City) (State)
have been contracted to pcxform electric installation work for"~t't'~
(Name of party contracted to)
at the following address: ;~ t s"- ~'" ~ ~,O
(Address where work will be per:formed)
The nature of thc work consists of: (Check One or Describe the Nature of Work)
(Zip Code)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / sofiSt installation. Note: New Service
Entrance Cables will require a separate pcxmit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit fbr the addition of A/C to an individual a%elling unit (house or thc
individual systems in a dupl~ or condominium), including required sci'vice
electrical outlets.
Other
The value of this work is $ / .~,o, ,,,--.
I hereby verify'this work will be performed by an employee of this company and further verify
the reconneetion / installation will be done in compliance with manufacturer and Electric code
requirements,
(Signature of Company Officer)
(Print Name of Officer)
(Date)