HomeMy WebLinkAbout0104909-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1315 PARKSIDE CT
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 JOHN D/CHARLOTT MURPHY
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A O Chimney B ~) 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
104909
10/22/2003
Other
Vent J
60m btu
Use/Nature SFR/Replace furnace & A/C. *EIV form from Slim's Electric.
of Work
Fees: Valuation
Issued By:
$3,814.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$63.50
Date 10/22/2003
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.
r-~ (92o) ~,-sm
HVAC PERMIT APPLICATION
All intmmiion ~ bold cat~ories nmst b~ proxdde&
Of FKOJH
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,.i~m~ing work without pm~it(s) will resultin fees bging doubled or $100.00 plus th¢
normal penuit fee, which ever is greater.
OR
If ~ou are a contractor oarticit~atin~ in the Permit fee ~¢count ,~¥stem and have adequate funds, check here
if yOg want this oroee$~ed through your account
JOB ADDRESS ]3/~ lgo.,'kz,Je.. ~n',
CHi'~:CK [~ AT.I. APPLICABI~
US~ CATEGORY
~Single Family EIDuplex EIMulti-Fnmily ClRental CICommomial Ellndushial
FUEL ~ EiEleo~ric EiSolid SYSTEM EINcw I~pla~e
EiOil I-ISolar EiOther
~oEr~ Air ORadiant EiSteam [1A/C EiVent EHileciric
IS ~ItlMNEY BI~.ING LI~]~.D EINo Er~'es - I21NER Sv~ 3"
EiHot Wa~r EiSuppl.
& MANUFACTURt~
O{O h Vah 6o ooo
EICon, Burner
Electric Installation Yerific fion
I (w,)
have been contra~ to p~rfonn ~l~i¢ im~ll~ion wor~ for
at the following addre~ ._ (Addre~ where work will be pm'formed.)
The natm~ of the work consi~ off ( .C'neck O~e or Descn'b~ the Nature of Work)
~ Reconnecli~n c~ new circ~ ~or replzcement He~ing Phmt _.~nd/or A/C Condenser.
Rcconncction m. new circuit for zeplacement Hleciric Watm: Hcatm' or powm' vented
Tho value of thls work is $
I hereby verify e~i~ work witl bc pm'f~cd by an employm ofthls company and furthe~ verify
the ~e~o,m~:lio~ / im~ll_~ic~ will lm dm~ in ~pliaa~ with manufa~a=i and ~ectric code