HomeMy WebLinkAbout0105911-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1510 MARICOPA DR
Contractor ANDRESEN SHEET METAL
Fuel
System
Gas J ~J Oil
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner BRUCE P/NANCY ROUNDS
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B O Direct Vent ~) Not Applicable I
O Existing ~) Not Applicable I Value
~ Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
105911
12/31/2003
Other
Vent J
75,000 BTU
Use/Nature
of Work
Replace furnace with 75,000 BTU, and line chimney. *EIV form from Slim's Electric.
Fees: Valuation
Issued By:
$2,700.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$45.50
Date 12/31/2003
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 2913 WITZEL AVE OSHKOSH WI 54904 -6539 Telephone Number
(920) 233-0323
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.
CEiVED
DEC 3 ? ;.:0 f
~v~UN~ ~ y DEVELOP~£,~T
Electric Installation Ve~tion
r(w¢) SLIM'S ELECTRIC INC.
(Blecvical Contractor Name) '
2608..C).akwood Circle O~osh WI ......54904
(Address) ~) (State) (Zip Code)
have been core. ted ~o p~orm ele~c iasaUaao~ work ~or Andreson Sheet Meta!
(Name of party contra~ed to)
,~tbe~olto~i,g~: 1510 Maricopa St.
(Address w;bere vwrk wJtl be p~format) '
The nature of the work consists of: (Check One or Desc~be the Nature of Work)
X Recormection or new circuit for replncement Heatin~ Plant m~d/or A/C Condenser.
R~connectiou or new circu/t for r~placemeat N, lectri¢ Water Henter or power vented
water heater.
.... Reconnection of the Serv/ce Entrance Cable, M~ter Box, akemtions to ~eptacles
and lighting fixau'es du~ to siding / sof~t instatlat~on. Note: New Service
~.ntt~¢e Cables will require a sepm~te pern~
~ Reconnection or new circdt for the replacement of oth~ permanently wired
appliances / fixtures.
__ New circuit ~or ~e a~ltion of A/C m aa lad~,~du~l a~eJlmg rout (house or t~e
individual systems in a duplex or condomi~imu), including required service
electrics] outlets.
The value ofthis work is $ 75.00
I hereby verify this work will be performed by an employe~ of this co~r,~ay and further verify
the reconnection / installation will b~ done in compliance with manufacturer and Electric code
~ David A. Younflwirth J 2129103
(~ature of Con~,~{n~FOfficer)(Print Name of Officer) (Date)
5/02