HomeMy WebLinkAbout0127519-HVAC (furnace)
G
OSHKOSH
ON THE WATER
Job Address 824 BOWEN ST
CITY OF OSHKOSH
No
127519
HVAC PERMIT -APPLICATION AND RECORD
Owner JAMES E SCHLUNDT
Create Date 10/26/2007
Contractor VANS HEATING & AlC INC
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A . Chimney B
Heat Loss ~) As Approved . Existing
BTU Rate ~) As Per Plan ~) Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U SuppJ.
~) Direct Vent
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
o Not Applicable
() Not Applicable
. Other
Value
Value
45,000
Use/Nature SFR / REPLACE FURNACE, EIV SIGNED BY CSI ELECTRIC "check #40891
of Work
Fees: valuati~ $1,791.00
Issued By: . S-
Plan Approval
$0.00
Permit Fee Paid
$37.00
Date 10/26/2007
o Permit Voided I
Parcel Id # 1106520000
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 ins.pection 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
~
OfHKOfH
ON THE WATER
HVAC PERMIT APPLICATION
All infonnation 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
Ifvou are a contractor oarticivatinf! in the Permit fee Account System and have adequate funds. check here
ifvou want this vrocessed through vour account n
DATEJO\ as\a-,
JOB ADDRESS ~ d 1-\ 1J O\ct..i\ ~ ~
OWNER~ ~ ~~ \UJ\fr-
CONTRACTOR ViLJ) · ~6j);rv%
CHECK 0' ALL APPLICABLE
USE CATEGORY
)dSingle Family ODuplex OMulti-Family ORental o Commercial o Industrial
FUEL ~as DElectric DSolid SYSTEM DNew ~eplace
DOil DSolar DOther
.~PE
~orced Air DRadiant DSteam DAlC DVent DE1ectric DHot Water DSupp1.DCon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE & MANUFACTURER
Note: All chirrmeys shall be sized per the BTU's being vented.
CIDMNEY TYPE DChimney A ~himney B DDirect Vent o Other
HEAT LOSS DAs Approved 9JExisting DNot Applicable "
BTU RATE DAs Per Plan DVariable ~ther Value Lf~( (JO 0
DESCRIPTION OF ALL WORK BEING DONE~ \ (1t Q {l~ VYl fjA .Jl.
~ .OU
VALUE (Including labor and all materials including light fixtures) $ "q I
ELECTRICAL CONTRACTOR
OR AElectric Installation Verification form attached(lf Replacement)
Elec/rical ins/alia/ion ofnewlreplacement equipment shall be done by licensed con/rac/ol's
(J.SlA ~\ \-- ~ ~~I
3/02
FROM CONCEPT SERV ICES .
FAX NO. 920-336-8697
Mar. 18 2003 03:01PM Pi
~
O~gJH
(llJ 1\.l[ VIA [2
City (If <npJ(Q.~h
Division Oflnspcetioll ~rvi<;cs
21:5 Church AlIlmuc
PO Box 1130
Osl1kosh WI 54903.11 aO
OW_ 920.236-5050
Pa~ 920-236-5084
Electric Installation Verification
1 (We)
C"r7 vl ( (? f) t ~5(! fv( (r?-.5
. (Electrical Contractor Name)
4033 Hl-tJt .5'7 :JJe #Re f
(Address) I (City) <
Inc, I~l dmn'c
I
have been contracted to perform electric installation work for
w I 54 }f S-
(State) (Zip Code)
I/fT~j IJ.-E>II-.A~ 9 t ((pL<v13
(Name of party contracted to)
.at th~ following address: '6 d- LL\j.))~JeJ') ~.
(Address where work will be perfonned)
4, ,,+
The nature of the work consists of: (Check One or Describe the Nature of Work)
.-.:i.. Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
wateT 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:eql!ire a separate permit. .
Reconnection. or new circuit for the replacement of other pennanently wited
appliances! fixtures.
New circuit for the addition of Ale to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
_ele.c.tri.caJ.out1ets'_'"'__~_'__~_."'_~__~__---------:-~~-:::='"1=~-"""~="''''~''i',,,,''''ry.;.,;;,:;;*:_,,,,~C;;;'''!'''-o;,..'~,.~-,,,",,,'''''''''~-~"
Other. . -- - . .
The value ofthis work is $ JOO/OO .
.1 hereby verify this wor.k will be performed by an employee of this company and further verify
the recotU1ection I installation wiD be done in compliance with manufacturer and Ele,ctric code
requirements.
(Signature of Company Officer)-
J)Au; d :JhRoJ
(Print Name of Officer)
\ ~dSttJl
(Date)