HomeMy WebLinkAbout0107443-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 548 GRAND ST
Contractor VANS HEATING & A/C INC
Fuel
System
Gas I I~ Oil
New I
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner WALTER SUNDQUIST
Category 501 - Residential-Air Conditioning
~J Electric I ~J Solar
Replace I
~J Steam I ~J A/C
Suppl. ] ~J Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B
~ Existing
~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
~J Solid
107443
04/15/2004
Other
Vent
Use/Nature
of Work
Installing a central air conditioning unit. Concept services will be doing the electrical.
Fees: Valuation
Issued By:
$2,935.00 Plan Approval $0.00
Permit Fee Paid
Permit Voided
$50.00
Date 04/15/2004
Parcel Id # 0404540000
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 525 BUTLER ST DEPERE WI 54115 -5426 Telephone Number
920-336-2816
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.
FROM :.CONCE~T SERUICES.
FRX ~0.
9~0-33~-8697
Map. 18 200J 03:01PM ~1
Electric Installation Verification
(Ele. clrieal Contractor Name)
(Aam=s) (CiW) (Stato) (Zip CMO
have been con=acted to ~ffom eI~e mt~lafion wor~ for
~e of p~ con~aetad to)
(Addr~ where work ~l~be p~o~ed)
The nature of the work con~zt~ of: (Cheek One or Dezcribe the Nature of Work)
.~. Reoonn¢ction or new circuit for replace,nen~ Heating Plant md/or MC Condenser.
__ Reconne~fion or new circuit for replacement Electric Water Heater or power vented
water heater.
__. Reconnection of tho Service Enlxan¢¢ Cable, Meter Box, alterations to receptacles
and lighting fixmre~ due to siding / soffit installation. Note: New Service
Bntrance Cables will [eq .uire a separate permit.
.... Reconncction or new ¢imult for the rcplacemcnl of other permanently wired
appliances / fixtures.
New circuit for the addition of A/C to an individual dwelling unit (house or the
/ndividual systems in a duplex or condominium), including required s~¢e
olec~cal outlets,
Other
The value of this work is $ 700, O0
· I hereby verify this work will be performed by an employee of this conipany and further verify
the recormeetion / installalion will be done in compliance with manufacturer mad Bi,trio code
(Signature of Compmy Officer) (Date)
(Print Name of Office0