HomeMy WebLinkAbout2007-HVAC (furnace; a/c)
e
OSHKOSH
ON THE WATER
Job Address 2360 ABBEY AVE
CITY OF OSHKOSH
No
125429
HVAC PERMIT - APPLICATION AND RECORD
Owner JANE E MILLER
Create Date 06/21/2007
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
Plan
U Solar I J Solid
o Other
~ NC U Vent
U Con. Burner
Contractor VANS HEATING & NC INC
Fuel 1"1 Gas I J Oil
System D New I
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss D As Approved . Existing
BTU Rate l) As Per Plan . Variable
. Not Applicable
() Not Applicable
o Other
Use/Nature SFR / REPLACE FURNACE AND NC SYSTEM, EIV SIGNED BY CSI ELECTRIC
of Work
Value
Value
45,000
Fees: valuatioo _ _ ~515.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$94.00
Date 06/21/2007
o Permit Voided I
Parcelld # 0613991900
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 penmit 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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
I
JUN 2 1 2007
DEPARTI1,1ENT OF
COMMUNITY DEVELOPMENT
HVAC PER~W~~~O~Xf1gj~SION
(
All information after bold categories must be provided.
Incomplete applications will not be processed.
~
OfHKOfH
ON THE WATER
· 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 participatinf! in the Permit fee Account System and have adequate funds. check here
if yOU want this processed through your account n
DATEU\ iX\ \ a---,
JOBADDRES~fj,j)O A\f)~ ~
OWNER:)~ m~ \lif
CONTRACTOR VW l~~~/
~
CHECK 0" ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex DMulti-Family
DRental
DCommercial
FUEL
"160as
DOil
DNew
DOther
DElectric DSolid
DSolar
SYSTEM
ITPE
Worced Air DRadiant DSteam~C DVent DElectric DHot Water DSupp1.DCon. Burner
IS CHIMNEY BEING LINED~o DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
DChimney B DDirect V ent ~Other Q\JL
~xisting DNot Applicable .....
~ariable i'lPther Value '-\~ (co::::>
DESCRIPTION OF ALL WORK BEING DONE (' .e..pl Q ~O FAYnJllte
CIDMNEY TYPE
HEAT LOSS
BTURATE
DChimney A
DAs Approved
DAs Per Plan
o Industrial
p4.eplace
"
P\C
co'~
VALUE (Including labor and all materials including light fixtures) $ 5S/S
OR ~Iectric Installation Verification form attached(lf Replacement)
Electrical installation of newlreplacement equipment shall be done by licensed contractors
ELECTRICAL CONTRACTOR
3/02
FROM CONCEPT SERVICES.
FAX ~O. ~ 920-336-8697
Mar. 18 2003 03:01PM Pi
~
O~Q7H
(ltJ Ult VI). t2
City of <n1lkQ.~1I
Division OflllSp(l:tiOll ~rviccs
215 Church A"lrnuc
PO Box 1l3{)
Oshkosh Wl 54903.1130
OffICe 920-236--5Q50
Pax 921J..236-5OM
I
D
JUN 2 1 2-007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
Electric Installation Verification
w' 54 115'"
(State) (Zip Code)
'}
have been contracted to perform electric installation work for L/ltY1.5 ,J)tJllf.'Yt 9. f- ((J?L{v1:J
(Name of party contracted to)
at th~ following address: ~ d 00 C\tb0 ~ If , ,
(Address wh~erfonned)
4033
(Address)
C'r7vl ((?f)f L5(Jf(/l(p~
. (Electrical Contractor Name)
JJl? IkRe I
I (CitY) -
Inc.1 fC5l~lQfMc
I (We)
H ~f .5'7
The nature of the work consists of: (Check One or Describe the Nature of Work)
~ Reconnection or new circuit for replacement 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 ~eq~ire a separate permit.
Reconnection. or new circuIt for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of AlC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), incJuding required service
__ele_ctri.calQutlets.::---._______~___~_~"_~~~___:=,~==....~.,~:~,"'!!,"',~""."".;;;;,;'<""";;>$""~:;;;;,:;'."'~~~~"
Other . --- . .
The value ofthis work is $ )OO,OQ .
.r hereby verify this work will be perfonned by an employee of this company and further verify
the reCollilection / installation will be done in compliance with manufacturer and Ele.ctric code
requirements.
(Signature of Company Officer)'
J)Au;'d JbRoJ
(Print Name of Officer)
l.Q I ""'\ \ r---.
~
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