HomeMy WebLinkAbout0118021-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
Job Address 2460 HAMILTON ST
CITY OF OSHKOSH
No
118021
HVAC PERMIT -APPLICATION AND RECORD
Owner
RYAN J/NICOLE G CERNEY
Create Date 01/30/2006
Plan
Contractor VANS HEATING & AlC INC
Fuel 1v'1 Gas I I Oil
System n New I
~ Forced Air U Radiant
I I Electric I I Hot Water
Chimney Type K) Chimney A . Chimney B
Heat Loss K ) As Approved . Existing
BTU Rate K) As Per Plan . Variable
Category 500 - Residential-Heating & Ventilating
I I Electric
i7I Replace
I I Solar
I I Solid
n Other
U Steam
I I Suppl.
e) DirectVent
U AlC I
I I Con. Burner I
e ) Not Applicable
U Vent
e ) Not Applicable
() Other
Value
Value
Use/Nature SFRI Replace furnace and AlC, install chimney liner, and install return to lower level - EIV provided by CSI Elect.
of Work
Fees: Valuation
$5,247.00
ptan Approval
$0.00
Permit Fee Paid
$84.50
Issued By:
Date 01/30/2006
0 Permit Voided I
Parcelld II 122931 0000
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 perfonmed within two business days from the time the project is ready.
FROM: CONCEPT SERVICES
FAX NO, : 920-336-8697
Mar. 18 20Ø3 03: 01PM P1
~ Cityofo,¡,J«)<h
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PO"" ";Q
O>hkosh Wl 54903."'0
O;r-¡gO,' "" WQ(" HOff"'" 920.236-5050
. " fa> 920-2)6-5084
Electric Installation Verification
WI 54115"'
(State) (Zip Code)
\
have been contracted to perfonn electric installation work fof VIt>1.J Ift>¡¡'f.',-t Q f. {c):JL{".3
(Name of party contracted to)
at the following address: ~¡J]{J ~1-an *. .
(Address where work will be perfonned)
4(}'33
(Address)
(Ori ((?fJf 5qf(.J¡(P.5
. (Electrical Contractor Name)
H LJý5'7 . J)e /Ì!Re .'
, (City)
IY)G,
I (We)
The nature of the work consists of: (Check One or Describe the Nature of Work)
~ Reconnection Of UtlW circuit for replacement Heating Plant and/or AlC Condenser.
- 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 wìIl req~ a separate permit. .
- Reconnection or new circuit for the replaceúlent of other pennanently wired
appliances / fixtures. .
- New circuit for the addition of AlC to an individuLzI dweIlžng unit (house or the
individual systems in a duplex or condominium), inf:ludingre<l\!.ir~c§~~, .
Other
Thevalueofthisworkis$ 300.00 .
I hereby verify this work will be perfonned by an employee of this company and further verify
the reconnecrion I installation wilJ be done in compliance with manufacturer and Ele,ctric code
011)4
(Signature o[Company Officer) .
~
(Prinr Name of Officer)
IjdWjDU-
(Date)