HomeMy WebLinkAbout0114694-HVAC (a/c)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
114694
HVAC PERMIT - APPLICATION AND RECORD
Job Address 836 W 11 TH AVE
Owner
BRADLEY D/MINDY HOUNSELL
Create Date 06/16/2005
Contractor VANS HEATING & A/C INC
1 1 Gas 1 1 Oil
Fuel
1,(1 New 1
System
U Forced Air U Radiant
1 1 Electric 1 1 Hot Water
Chimney Type () Chimney A 0 Chimney B
Heat Loss 10 As Approved 0 Existing
BTU Rate 10 As Per Plan 0 Variable
Category 501 - Residential-Air Conditioning
Plan
1,(1 Electric
1 1 Replace
1
1 1 Other
1 U Vent
1
1 1 Solar
1 1 Solid
U Steam
1 1 Suppl.
l..j A/C
1 1 Con. Burner
0 Direct Vent
. Not Applicable
. Not Applicable
. Other
Value
0
Value
1.5T
Use/Nature SFR/ Install new A/C EIV provided by Concept Services Inc
of Work
Fees: Valuation
$1,805.00
Plan Approval
$0.00
Permit Fee Paid
$33.50
Issued By:
Date 06/16/2005
U Permit Voided 1
Parcelld # 1303030000
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.
PROM: CONCEPT SERV I CES
FAX NO. : 920-336-8697
Mar. 18 2003 03:01PM P1
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PO Box 1130 .
"'- WI 54go3.mO
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~ Fa> ~2().236-5084
Electric Installation Veriflcation
(Ori ({?fJf 5(!fl/ícp-3 ]:Y)c,
. (Electrical Contractor Name)
4 () J:) HL./ý5'7 . J}e /l?Re ,I WI
(Address) , (City) (State)
\
havebeencontractedtoperfonne1ectricinsta11ationworkfor IJJt"/..J J)f'¡¡J.;;Aq'¡'" (cPL¿"'3
(Name of party contracted to)
ilt the following address: ~:31 p IA) l \ ~ jt:Vl- t)~h,~~<íh WI ~4'f\ d-
(Address where work wil1 be perfonned)
I (We)
541/ S-
(Zip Code)
The nature ofllie work consists of: (Check One or Describe the Nature of Work)
-Á Reconnection or new circuit for replacement Heating Plant and/or AlC Condensér.
- Reconnection or new circuit for replacement Electric 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
Entrance Cables will rec¡J!Ïre a separate permit. .
- Reconnection or new circuit for the replacement of other pennanently wired
appliances / fixtures.
~ New circuit for the addition of AlC to an indi'Vidw1l dwelling Wlit (house or the
individual systems in a duplex or condominium), including requir~J?E\;!Yiç.e- -
electrical outlets.
Other
Thevalueofthisworkis$ JOO.OO .
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection I installation wilJ be done in compliance with manufacturer and Ele.c1ric code
c52OJ4
(Signature of Company OffiCer) _.
J)Au;d 'JhRoJ
(Print Name of Officer)
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(Dilte)