HomeMy WebLinkAbout0127536-HVAC (furnace & a/c)
G
OSHKOSH
ON THE WATER
Job Address 1406 OAK ST
CITY OF OSHKOSH
HV AC PERMIT - APPLICATION AND RECORD
No
127536
Owner SALLY JOE HURLBUTT
Create Date 10/29/2007
Contractor VANS HEATING & A/C INC
Category 502 - Residential-Both
Plan
Fuel l!L~.as-1 U Oil I U ElectrTc--:=J [JS01ar-=:=J ~~~_J
System D~~w_____ 0 RE~'place ~ D_9_t~~___--,_J
ffFOrced Air ITRadiant U Steam J ~JVC---] D Venr--=:J
ITETeCtriC~ D-Hl?~ Water :=J D~uPJ:l1. .:::_~ rr9~ll..=~!~~D
Chim ney Type D:.9J1Jm ney_6__ _____ Chimn~yJ3 _=:=~=O_l?ir~c!_Y~_6C=':::====-=O._I':!Ql:ApErrC~=b~_=:-::J
Heat Loss ITjl.~_'-:'Qers>vi<[==:':::_-'::~i~tLrl9.::-=---='~== --0' -No(ft:~p~~abfe -----. Value
BTU Rate D:~~Per-PI~~=='::::=~-T)=\Z~il31?ie_:::H _==:-:=-..-qth€lf ...J Value
Use/Nature lSFRTRepIace furnaceandalc."'EI\T providedbyCS1E1ectriC.
of Work:
Fees: Valuation
$5,545.00
f2nv:;
Plan Approval
$0.00
Permit Fee Paid
___ ____~~4:QQ
Date 10/29/2007
Issued By:
o Permit VOidedJ
Parcelld # 1509040000
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.
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
J ou are a contractor artici atin in the Permit ee Account S stem and have ade
if vou want this processed through vour account n
check here
JOB ADDRESS, \L\QlQ ~ ~~
OWNER ~ \l~ ~ ~ ~-*f
CONTRACTOR ~ -\1e0..11~~
CHECK 0 ALL APPLICABLE
USE CATEGORY
~ingle Family ODuplex OMulti-Family
DATE 'D\;2-'\O\
o Rental
OCommercial
OIndustri~tl
FUEL
'il Gas
DOil
DElectric DSolid
DSolar
SYSTEM
DNew
DOther
~eplace
TYPE
~orced Air DRadiant DSteaml5JvC DVent DElectric DHot Water DSuppl.DCon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CIDMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
~Chimney B
~xisting
DVariable
DDirect Vent o Other
,5!Not Applicabl!;: {
?Other Value 4S(LCt:> ~
~4,l~
DESCRIPTION OF ALL WO~EING DONE f
Y'e ~\ My -IU YYla,~ 12 ~ t\ C-.-
REeEfVED
OCT 2 9 2007
z::: C::::' I,"' to DEP
VALUE (Including labor and all materials including light fixtures) $ V-J f"\J COMMUN:~!~T:~ElgtMENT
\() INSPECTION SERVICES DIVISION
ELECTRICAL CONTRACTOR OR ~Electric Installation Verification form attached(IfReplacement)
~~~ + .:\)qL\ E'~, ,,' ;.",11"", 'J ",wmp"'""'" ""pmffl' "," "dm by U'fflU" =''''''''
3/02
FROM CONCEPT SERlJ ICES .
FAX NO. 920-336-8697
Mar. 18 2003 03:01PM Pi
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OfhkgJR
(lId un WA .2
City ofO$Pl(<).~h
DivisiQn oflnspet:fioll Services
215 CbUl'llh A"""uc
POBox 1130
Oshkosh Wl 54903.1130
OffICe 920..23&.$050
Pax 920-236-5034
Electric Installation Verification
4033
(Address)
C'r/Yl ((?j)1- ~5(!fVl(P-.5
. (Electrical Contractor Name)
J)e #Re 1
, (City) .
. Inc. /CJI
Clecl-rl c
I (We)
H kit .5'7
WI 54}f~
(State) (Zip Code)
Ii ' .
I/rr~5 J)~1I+1"yt9 f ((pL{Vl3
(Name of party contracted to)
have been contracted to perform electric installation work for
at th~ following address: 14Q.s) eta L ~\-
(Address where work will be perfonned)
The nature of the work consists of: (Check One or Describe the Nature of Work)
-A 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 req~ a separate permit.
Reconnectioo 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 du.plex or condominium), inc!uding required service
ele_ctrical.outlets.c_'__'_~'~___'.'_' . __ .-___.".-,~......)"."~<'1'1'i!o~~~""Jiiij.""'~J#""'~;"'''',;0r~''",.=.~.~~?
Other
The value of this work is $ JOO.OQ .
-I hereby verify this work will be performed by an employee of this company and further verify
the reconnection I installation will be done in compliance with manufacturer and Ele.c1ric code
req uirements.
(Signature of Company Officer) ~.
:DAu;'d ~RC?J
(Print Name of Officer)
~