HomeMy WebLinkAbout0107444-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1041 EVANS 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 HENRY J NIEBAUER IV
Category 502- Residential-Both
~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 O Direct Vent ~ Not Applicable I
~ Existing O Not Applicable I Value
~ Variable ~ Other I Value
No
Create Date
Plan
~J Solid
107444
04/15/2004
Other
Vent
Use/Nature
of Work
Replacing the furnace and installing a new A/C unit. Concept Services will be doing the electrical work.
Fees: Valuation
Issued By:
$4,988.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$80.00
Date 04/15/2004
Parcel Id # 1108440000
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': CONCEPT SERUICES. FAX ~0. : 920-336-8697 Mar. 18 2003 03:0IPM Pi
Electric Installation Verification
at the following address:
(Address where work will be performed)
The nature of the work cor~st~ of: (Check One or DesmSbe the Nal~re of Work)
~,. Reconnection or new circult for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Elcclric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Fmtm~ce Cables will [eq .uire a separate permit.
..... Reconnectiort or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of MC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required 'service
electrical outlets
Other
The value of this work is $_7OO,OO .
· I hereby verify this work will be performed by an employee of thi~ company and further verify
the recormection / installation will be done in compliance with manufacturer ~ad Electric code
(Signature of Company OffiCer) ~'
(Print Name of Officer)
(Da~e)