HomeMy WebLinkAbout0105882-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 3255 MEDALIST DR
Contractor BALCO SERVICES
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner TJY HOLDINGS INC
Category 510 - Ind. & Comm-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 ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
105882
12/22/2003
Other
Vent J
Use/Nature Replace gas, forced air furnaces in the office area. 2 furnaces, 120 mbtu and 100. mbtu.
of Work
Fees: Valuation
Issued By:
$5,895.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$93.50
Date 12/29/2003
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 N961 TOWER VIEW DR GREENVILLE WI 54942 -8030 Telephone Number
920-757-6578
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.
~1~/22/03 14:42
FAX 920 236 7725
Solar Electric
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[~01
Electric Installation Verification
Ct) (We)
E~EC-~-V~TC ~E~VTC]~ Th?f~,
(Electrical Con~ractor Name)
3443 Brooks R~I,, oshlca~b WT 54904'
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for~t't"~o~Ot t~
(Name of pray contracted to)
(Address wher~ work will be performed)
The nature of the work consists or-: (Check One or Describe the Nature of Work)
~R2eonneetion or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnecfion or new circuit for replacement Electric Water Heater.
Reconnection ofthe Service Enlrance Cable, Meter Box, alterations to ree~taeles and
Iighting fixtures due to siding / soffit installatior_ Note: New Service Entrance
Cables will requixe a separate permit.
Reconneetion or new circuit for other pem~nently wired appliances / fixtures.
Other
The value ofth/s work is $ [ ~'d~ ~
I hereby verify this work will be performed by an employee of this company and further verify the
reeonnection / installation will be done in compliance with manufacturer and Electric code ·
requirements.
· (Sigritf~llte o~' Company Officer)
(Print Name of Officer) (D~,e)