HomeMy WebLinkAbout0123829-HVAC (furnace)
to CITY OF OSHKOSH
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 9~2 E SUNNYVIEW RD #63 Owner MARTIN AURE
No 123829
Create Date 03/16/2007
Contractor
VANS HEATING & AlC INC
l~ Gas
o New
Category 500 - Residential-Heating & Ventilating
Plan
Fuel
UOil
~ Forced Air
U Electric
Chimney Type KJ Chimney A
U Electric
~ Replace
U Steam
U Suppl.
() Direct Vent
U Solar___~ U Solid
o Other
~~==--=J U Vent
U Con.B~
. Not Applicable _~
System
----~
BTU Rate
K:) As Approved
() As Per Plan
U Radiant
U Hot Water
____0 Chimney B
() Existing
() Variable
Heat Loss
. Not Applicable
. Other
Value
Value
70,000
Use/Nature FR (Mobile Home) / REPLACE FURNACE, EIV SIGNED BY CSI ELECTRIC
of Work
Fees: Valuation $3,500.00
Issued By: ~lAJ
Plan Approval
$0.00
Permit Fee Paid
$62.50
Date 03/16/2007
o Permit Voided I
Parcelld #
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. 920-336-8697
Mar. 18 2003 03:01PM P1
MAR 1 6 2007
~
OJH<QlH
OIJ TIn 'II} 12
City of~Q.'lh
Division of InspectiOll Servi~es
215 Church A~uc
PO Box 1130
OshJcosb WI 54903-1130
Ofr~ 920-236-5050
Fax ~2()"236-5~
~~CSI
~
Electric Installation Verification
wi 54 If S-
(State) (Zip Code)
,
have been contracted to perform electric installation work for VJtl"i.:5 III'/J+.~ 9. f- (cpL<v13
~~eofpmrtycontractedto)
at th~ following address: ~ SLUl rlM V\? l.,j .W U~
(Address where work will be perfonned)
4033
(Address)
C"rJri ((?j)f ~5(!fvl(P.3
. (Electrical Contractor Name)
::VI? IkRe J
I (City) .
Inc.,
I (We)
H 1,,)1 .5'7
The nature of the work consists of: (Check One or Describe the Nature of Work)
-A Reconnection or new circuit for teplacement Heating Plant and/or Ale 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 will :r:eq~ a separate permit. .
Reconnection or new circuit for the replacement of other permanently wired
appliances I fixtures.
New circuit for the addition of Ale to an individual dwelling unit (house or the
individual systems in a duplex or condominium).inc!uding required service
,ele.ctrie,aL.olltlets:_ "'. ,c"o:~~""'~:,"~-<:'=2"=~~,"~",,,,=C"':;':Z;;'~~i;'7';;'''~",,,,,,,,.=c.... .
Other .
The value ofthis work is $ )OO,OQ .
-I hereby verify this woik will be perfonned by an employee of this company and further verify
the reconnection ! installation will be done in compliance with manufacturer and Ele,ctric code
. reqUi7~nIS/1\ ~
O~LJ...
(Signature of Company Offil:::er) ,c
,])Av;' d 'JhRoJ
(Print Name of Officer)
?J~ \'5 \t3l
(Date)
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
MAR 1 6 2llIl1 ~.
OfHKOfH
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If vou are a contractor particiTJatinf! in the Permit fee Account Svstem and have adeauate funds. check here
if vou want this TJrocessed throuf!h vour account n
JOBADDRESS3J ~ fCL~t Smv1'-j Vi€l~
OWNER mCLJ-l.'\ ~\ )LA
CONTRACTOR 'VdA.V) ~'~
CHECK 0 ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex DMulti-Family
DATE
01*0~
~\ \5\\.)\
DRental
o Commercial
o Industrial
FUEL
raGas
DOil
DE1ectric DSolid
DSolar
SYSTEM
DNew
o Other
~eplace
.!~E
~orced Air DRadiant DSteam DAlC DVent DElectric DHot Water DSupp1.DCon. Burner
IS CHIMNEY BEING LINED')lfNo DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CIDMNEY TYPE DChimney A DChimney B DDirect .y ent JS(pther ~ <:t.:b'-~
HEAT LOSS DAs Approved o Existing nN-ot Applicable
BTU RATE DAs Per Plan DVariable ':9Other Value '0 ,,0:0
.
DESCRIPTION OF ALL WORK BEING DONE Y Q ~\a ..d1Jl~ t& V M P D
. :2.. r.-- ' l.D
VALUE (Including labor and all materials including light fixtures) $ J~c.D
OR ~Electric Installation Verification form attached(JfReplacement)
Electrical installation a/new/replacement equipment shall be done by licensed contractorJ
ELECTRICAL CONTRACTOR
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