HomeMy WebLinkAbout0116499-HVAC (furnace)
.~
OSHKOSH
ON THE WATER
Job Address 548 GRAND ST
CITY OF OSHKOSH
No
116499
HVAC PERMIT -APPLICATION AND RECORD
Owner
ELLEN J SUNDQUIST
Contractor VANS HEATING & />JC INC
I~ Gas I I Oil
Fuel
System n New I
~ Forced Air U Radiant
I I Electric I I HotWater
Chimney Type r) Chimney A ( ) Chimney B
Heat Loss r) As Approved . Existing
BTU Rate r) As Per Plan ( ) Variable
Category 500 - Residential-Heating & Ventilating
Create Date 09/28/2005
Plan
I I Electric
M Replace
U Steam
I I Solar
I I Solid
I I Suppl.
. Direct Vent
~
I
I
~
U />JC I U Vent
I I Con. Burner I
( ) Not Applicable
( ) Not Applicable
. Other
Value
Value
Use/Nature ßFR/ Replacing fumace, install 3 Inch chimney liner - EIV provided by Concept Services
ofWork
Fees: Valuation
$3,870.00
Plan Approval
$0.00
Permit Fee Paid
$63.50
Date 09/28/2005
Issued By:
0 Penmit Voi~
Parcelld # 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 penmit 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 SERV I CES .
FAX NO. : 920-336-8697
Mar. 18 2003 03: 01PM P1
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PO- 11;0
Os11kosh WI "903-mO
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Electric Installation Verification
4033
(Address)
(OY1 (pj)f 5Ç?I?i/í(r?.5
. (Electrical Contractor Name)
H 1..)'15'7 . Ye /l?Re J
, (City)
Inc,
I (We)
ätthefollowingaddress: S~ &~ sf- . .
(Address where work will be perfonned)
wI .54IfS-
(State) (Zip Code)
lIit.Ò #£>1/-/-;"9 -).- (cpL{"'3
(Name of party contracted to)
have been contracted to pe.rfonn electric installation work for
The nature of the work consists of: (Check One or Describe the Nature of Work)
-Á Reconnection or uew circuit fur replacement Heating Plant andlor AlC Condenser.
- Reconnection or new circuit for replacement Elec1ric Water Heater or power vented
water heater.
- Reconnecûon of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will reqJ!Ìre a separate permit.
- Reconnection or new circuít for the replacement of other permanently wired
appliances / fixtures.
- New circuit fur the addition of AlC to an individual dwelling unit (house or the
individual systems in a duplex or condominÍum), including required service
electrical outlets.
- Other
Thevalueoftbisworkis$ JOG,GO .
I hereby verify this work will be performed by an employee of this company and further verify
Q~~-:~]::-~
(Signature of Company OffiCer) ~ (Print Name of Officer) (Date)