HomeMy WebLinkAbout2003-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 871 RIDGE LN
Contractor
Fuel ~ Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
RASMUSSEN'S HEATING & A/C INC
Oil
Owner EUGENE M HARRAND
Category 500- Residential-Heating & Ventilating
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 O Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
105188
11/06/2003
Other J
Vent J
60m
Use/Nature SFR/Replace furnace. *EIV form from Slim's Electric.
of Work
Fees: Valuation
Issued By:
$3,150.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$53.00
Date 11/06/2003
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.
Electric Installation Verification
I
(City) (State) (Zip Cod~)
hav~ b~n ooniraomd to ~ electdc installation work for
at the followin~ address:
Thenature ofthewmtc consists o~ ( .CheckOne or Descn'oe the Nature of Work)
Reconnecfion o~ new ckcait ~or repL~mment Heating Plant amYor A/C Condenser.
Recosmection ~ new ciro~ for replaoement ]~lectrlc Water Heater or power vented
Reconnection of the Scrvi.~ Entxance Cable, Meter Box, alterations to receptacles
an/i l~oh~g fixtures due to ~ / soffii~stallatiox~ Note.' New Service
~auCe ~l~s will ~ a separate
P, eoonneolion o~ n~w ,xki~it fat the r~plao~mmat of other peommeatly wired
N~w ~mlt fro' fl~ addition ofA/C ~o mi/nd/v/dm~ dm~///ng t~/t (houao or thy
Other ..
Tho veluo ofthis work is $ 2Co~°*
I he~oy verify this work will l~ performed by an ~ml, loy~ of fids company and further verify
the reconneotion / i~slallafioa will be d~ne in oomplianoe wilh mannfaelm~r and Electric code