HomeMy WebLinkAbout0108551-HVAC (furnace; a/c)OSHKOSH
ON THE WATER
.lob Address 418 W 8TH AVE
Contractor VANS HEATING & A/C INC
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner RUDOLPH/TAMMY L MEYERS
Category 502- Residential-Both
Electric
New ] ~] Replace ]
Forced Air ] ~ 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 ]~ As Approved ~ Existing O Not Applicable ] Value
BTU Rate ]~ As Per Plan ~) Variable ~ Other ] Value
No
Create Date
Plan
L~ Solid
108551
06/08/2004
Other
Vent J
Use/Nature SFR/Replace furnace and install air conditioning system. EIV for Concept Services Inc for wiring.
of Work
Fees: Valuation
Issued By:
$5,037.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$81.50
Date 06/08/2004
Parcel Id # 0905820000
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 SERVICES. FAX NO.-: S20-336-8697 Mar, 18 2083 03:01PH P1
F~x D20-256-5084
Electric Installation Verification
I (We)
(Ad.ess)
have been contracted to perform electric installation work for
(State) (Zip Code)
(Name o£party contracted to)
(Address where work will be performed)
The nature o£the work consbrs of.' (Check One or Deseribe the Nature o£ Work)
Reconnecfion or uew circuit for replacement Hea0.ug Plant end/or MC Condenser.
__ Re. connection or new circuit for replacement Eteclric Water Heater or power vented
water heater.
__ Reconnection of the Service Enhance Cable, Meter Box, ~lterations to receptacles
end lighting fixtures due to siding / soffit installation. Note: New Serdce
Entrance Cables will zTeq .t~'e a separate permit.
__ Reconneeticm or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the add/t/on of A/C to ~m individual dwdling unit (house or the
indi,rlduat systems in a duplex or condom~nlum),~inc.lud/ng required service
Other
The value of this work is $__~0(~,O(~ .
.I hereby verify this work will be performed by an employee of this company and further verify
the recormection / installation will be done in compliance with manufacturer and ~le~tric code
requirements. - ',
(Sigunature of Company Offiber) (Date)
(Print Name of Officer)