HomeMy WebLinkAbout0127599-HVAC (furnace; a/c)
e
OSHKOSH
ON THE WATER
Job Address 726 STERLING AVE
CITY OF OSHKOSH
No
127599
HV AC PERMIT - APPLICATION AND RECORD
Owner JOSEPH K/MARY C BAUMAN
Create Date 11/01/2007
Contractor
Fuel
VANS HEATING &NC INC
l{J Gas-i
~_--!
UOil
::J
Category ~~_--'~esid_~Q~!3~~~~
OJ1~_~Ei<;_=J
Plan
Heat Loss
~New___~ 0B~~~__~_~~
0" Forced Air U Radiant U Steam ~ IT~-===:J
O}lectric U Hot Water U Suppl. U~.!:!:.. Bur~
D_.9J!!m~~~____.9!1i!!1ney B ______D_piregt Ve..Q.t_____D Not Appli~ble===:J
o As Approved .- Existing-===~~~~-- 0_ Not~Q!ic~~~~_~-=-----=_-=-J Value
D~~~J:>~D'far:'_-=~=~~~_.~\f.i~iabl~_~:~-...-=~~==:CrQlh~!=~~~=~=.~~=~] Value
O]olaC-==':'=] 0 JCill~:::::.---
D_()l~l7L______________nj
D-Vent
System
Chimney Type
BTU Rate
Inn_n~____~__~_____________n_____~____ -----
Use/Nature SFR I Replace furnace and ale. EIV provided by CSI Electric.
of Work!
!
L
I
I
I
I
________J
Fees: Valuation
$5,930.00
tJ./771~
Plan Approval___ $0.00
Permit Fee Paid _______J1QO.00
Date 11/01/2007
Issued By:
D_~~rm ~\!5'id~J
Parcelld # 1108270300
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, WI 54903-1 130
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
If vou are a contractor particioatinf! in the Permit fee Account Svstem and have adequate funds. check here
if Vall want this orocessed through vour account n
JOB ADDRESS 'ld\.9 ~ \\\~
OWNER ~ '~<3.1i~
CONTRACTOR \l~~(ij,~
CHECK 0 ALL APPLICABLE
~,,-E CATEGORY
~ingle Family DDuplex
DATE~
DMulti-Family
DRental
DCommercial
DIndustrial
FUEL
'rjGas
DOil
DElectric DSolid
DSolar
SYSTEM
DNew
o Other
~eplace
IXPE :'\A,
9lForced Air DRadiant DSteam ~A/C OVent DElectric DHot Water OSupp1.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
:tJChimney B
-aExisting
9dVariable
DDirect Vent o Other
DNot Applicable
DOther Value
~EO
DESCRIPTIO~ OF AL~ORK BEING DONE
l{e{) CltQ . vWO cj ~C--
\>I: 01 2GGl
.. : l\~\t<i'E.\'f\ Or ~cN\
OE\Jt:lO? N
C()tJIM\)N~E:R\'lC\:C, oN1510
1N5\lEcnON
~~'oU
VALUE (Including labor and all materials including light fixtures) $ "^-l
OR ~lectric Installation Verification form attached(If Replacement)
Electrical inSlallalion of new/replacement equipment shall be done by licensed conlraclorj
ELECTRICAL CONTRACTOR
3/02
FROM CONCEPT SERIJ ICES .
FAX ~O. 920-336-8697
Mar. 18 2003 03:01PM Pi
~
OJH<Ql8
(l!J ll-lt WI. .2
City \If O:;l1l\<).~b
Divisi()r1 Ofl~tioll Se-rvices
215 Church AY!"IlllC
.PO ao.. 11.30
Oshkosh WI 54903.1130
OfT>ee 920-236-5050
Pa~ 92()"236-5034
Electric Installation V eriflcation
WI
(State)
,
have been contracted to perform electric installation work for L/ltl'1..J //t'II.-A'yt 9 t- C(PL<0.3
(Name of party contracted to)
at th~ following address: -.=] ()( 0 &x l ~ . "
(Address wher work will be perfonned)
4033
(Address)
C'(JVt ((?j)f ~5(Jfv\(f?.3
. (Electrical Contractor Name)
J}e #Re I
I (City) ,
Inc' lC::>l" ~1ecl-r1c
I (We)
H kJY .5'7
54 If S-
(Zip Code)
H ..~
The nature of the work consists of: (Check One or Describe the Nature of Work)
-A
Reconnection or new circuit for replacement Heating Plant andlor Ale Condenser.
Reconnection or new circuit for replacement Elec1ric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable) Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation, Note: New Service
Entrance Cables will r:eql!ire 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 du.plex or condominium), inc!uding required service
electric.alout1ets.~____~~__,~___
Other
,: :., _","".-.;;.;::-':.:i~:""~~.':".i;~~~W~'S~~~~';;:A~;;;~':'~-:~~;'::;;:J5;;~L;;:';:-~\"2-"~~'."~
"-... - .
The value of this wor!, is $ ')00.00 .
.r hereby verify this work will be perfonned by an employee of this company and further verify
the reconnection I installation will be done in compliance with manufacturer and E~e.c1ric code
requirements.
(Signature of Company Officer) ~.
J)Au;' d JORqu
(Print Name of Officer)
,o\~\ )07
(Date)