HomeMy WebLinkAbout2007-HVAC (furnace)
o
OSHKOSH
ON THE WATER
Job Address 1237 LIBERTY ST
CITY OF OSHKOSH
No
125593
HV AC PERMIT - APPLICATION AND RECORD
Owner LOIS P/PATRICIA C HODGELL LIFE ESTA
Create Date 07/02/2007
Contractor VANS HEATING & AlC INC
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
Wlectric U Hot Water
Chimney Type o Chimney A () Chimney B
Heat Loss [) As Approved D Existing
BTU Rate rr As Per Plan -.0 Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar
I
I
~
J Electric
o Replace
U Steam
U Suppl.
() Direct Vent
U AlC J
U Con. Burner I
. Not Applicable :=J
. Not Applicable l
.~~._____:=J
Use/Nature [SFR / REPLACING EXISTING FURNACE, EIV SIGNED BY CSI ELECTRIC
ofWo'. I
Value
Value ____________70,QQQ
Fees: Valuation $4,416.00
Issued By: 0rYl 0
Plan Approval
$0.00
Permit Fee Paid
$77.50
Date 07/02/2007
o Permit Voided I
Parcelld # 1203680000
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 (Le. 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, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
I
I
~
OfHKOfH
ON THE WATER
JUL - 2 Z007
DEPARTIVlENT OF
COMMuNrrv DEVELOPMENT
INSPECTION SERVICES DIVISION
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 YOU are a contractor varticivatinf! in the Permit fee Account System and have adequate funds. check here
if you want this vrocessed through vour account n
JOB ADD
OWNER
CONTRACTOR
L k&r~ ~
II
DATE~
CHECK 0 ALL APPLICABLE
~_E CATEGORY
~ingle Family
DDuplex
DMulti-Family
DRental
o Commercial
DIndustri~1
FUEL 'tihas
DOil
DElectric DSolid
DSolar
SYSTEM
DNew
o Other
~ep1ace
lKPE
T'orced Air DRadiant DSteam DAlC DVent DElectric DHot Water DSuppl.DCon. Burner
IS CHIMNEY BEING LINED'i;{No DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CIDMNEY TYPE DChimney A DChimney B DDirect ~ent VfOther iJVG .
HEAT LOSS DAs Approved o Existing )ZI'Not Applicable
BTURATE DAsPerPlan o Variable Ij?JDtherValue ~O\ObO .~1U
DESCRIPTION OF ALL WORK BEING DONE~\cr~ ; ~ fU.,r l'tAAU
VALUE (Including labor and all materials including light fixtures) $ 1-l!j \ l.P . ~
OR ~ectric Installation Verification form attached(JfReplacement)
Electrical installation of new/replacement equipment shall be done by licensed contractor.!
ELECTRICAL CONTRACTOR
~~~~ ~
\\,~.~
3/02
FROM CONCEPT SERIJ ICES .
FAX ~O. 920-336-8697
Mar. 18 2003 03:01PM
I
JUL 2 2007
.~
O~Q7A
(ItJ l~t VIA 12
City ..,fOsPl<<).~b
Division Qf!~liOll ~lVices
21 S Church A 1Ilm1le
PO Box 1130
Oshkosb Wi 54903-1130
OtrJCe 920-236-5050
Pax ~2(}"236-5084
DEPARTMENT OF
COMMUNITY DEVELOPf\1ENT
INSPECTION SERVicES DIVISION
Electric Installation Veriflcation
W / 54 II S-
(State) (Zip Code)
\
have been contracted to perform electric installation work for L/ It ~3 !It> I!..k~ 9 f C(pL ~pl .3
(Name of party contracted to)
at th~ following address: J 0?01 Gh~ ~. .
(Address where work will be performed)
40'33
(Address)
C"r:h1 ({/Pf ~5(!e(/((t?~
. (Electrical Contractor Name)
:J)e IkRe J
I (City) .
I Y) C., / G~ \ eX..o.tlf\6
, .
I (We)
H kit .5'7
r .
The nature of the work consists of: (Check One or Describe the Nature of Work)
-L 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 oithe Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will r:eql!ire a separate permit.
Reconnectioo or new circuit for the replacement of other pennanently wired
appliances I fixtures.
New circuit for the addition of Ale to an individual dwelling unit (house or the
individual systems in a du.plex or oondolninium). inc!uding required service
_ele.ctrical._.o:u.tlets~::-_.___~.~__ '--'~-----------:'"~--::':=<'~==-'_"";:''''~:'~>>i'''ii''''-,i'--;;;;'';;-0!'4'';"'""~::;,~,?'C""'''''?'"~:-~-,
Other . --.- .
The value ofthis work is $ JOO, OQ .
-I hereby verify this work will be perfonned by an employee of this company and further verify
the recormection I installation will be done in compliance with manufacturer and Ele.ctric code
reqUir~ent./\\ .
()~/L )~ :DAu;d 'JORou =ll3\Crl
(Signature ofCornpany Officer) . (Print Name of Officer) (Date)