HomeMy WebLinkAbout0127975-HVAC (furnace & a/c)
G
OSHKOSH
ON THE WATER
Job Address 885 CHRISTIAN DR
CITY OF OSHKOSH
No
127975
HV AC PERMIT - APPLICATION AND RECORD
Owner KATHLEEN A WEINHOLD
Create Date 11/28/2007
Contractor
VANS HEATING & AlC INC
Category ?02 :B_~~i<!~!!<:l~-I3~~_____________
Plan
Fuel ~g~~__J U__Oil -~-=.J c::TIl~ili1E_==J U_~ola~____~ D-~olid~=-_J
System D~ew _____~ ~~la~_________J rr()J~~~__
~ ForcedAir] ITRadiant--i ITSleam---! 0A7C ---~ D --
_ _ ---.J bL _ ./ AlC --~__ Vent ___=1
O~~!rL_J 0: Hot Wat~__J U__~2e!:_____] U___9on-.::~tJj~iJ
Chimney Type rT~~~=.=::9l~YJ[=:=:~_:::~O]>}j~-c[\I~6r=-:-_::=: :O]~IApRfi~iili~=_:::_:J
Heat Loss [LAsApprove~__.~~__________O NotA{JPJi.~~~___==-l Value ___________
BTU Rate O__~~er Plan . Variable ==~_====rrQ!b~r_==::=:==~=J Value
UsefNature 'SFR / Rep-Iace furn-ace and a/c. EIV provided by CSrElectric_-----------------------------------
of Work!
I
i
I____c________~_ __~___~____~~__________________ ___________ ___________ _ ___ _ _m__________ ______1
Fees: Valuation ____~36QQ
Plan Approval
$0.00
Permit Fee Paid
_ _197.().o
Date 11/28/2007
Issued By:
()~
D~~~':f1_i~y?_id_e~J
Parcelld # 1250178000
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
WI 54115 - 5426 Telephone Number 920-336-2816
Address
525 BUTLER ST
DEPERE
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, VVI54903-I130
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(vou are a contractor particioating in the Permit fee Account Svstem and have adequate funds, check here
if vou want th is oroces'sed throuflh vaur account n
DATE~
JOBAD~ ~t~~~ fdr
OWNER 1..1 nh \
CONTRACfORJ./t!.A '/J ~e'4fi~
CHECK ftj' ALL APPLICABLE
, CATEGORY
ingle Family DDuplex DMulti-Family DRental o Commercial o Industrial
FUEL ~as DElectric DSolid SYSTEM DNew ~eplace
DOil DSolar DOther
...!XPE
~orced Air DRadiant DSteam~c OVent DElectric DHot Water DSupp1.DCon. Burner
IS CIDMNEY BEING LINED ~No DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CIllMNEY TYPE
REA T LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
~himney B
'tlExisting
~ariable
DDirect Vent DOthn
DNot Applicable n
DOther Value
,
o
C-
~l3l .~
VALUE (Including labor and all materials including light fixtures) $ 0 ))
OR ~ Electric Installation Verification form attached(If Replacement)
Electrical installation of new /replacement equipment shall be done by licensed contractors
ELECTRICAL CONTRACTOR
~ 'N\~ \- ~ee \\qi
3/02
FROM CONCEPT SERIJ ICES .
FAX NO. 920-336-8697
Mar. 18 2003 03:01PM P1
~
OjH(gJR
(ItJ TIn VIA l2
City t>f<nj1l(<).~b
Division Ofl~tioll ~rviCC5
215 Church A..,:nuc
PO Box 1130
Osl1kosh WI 54903-1130
OfTlCe n0-236-S0S0
Fa~ n0-236-5034
Electric Installation Veriflcation
40'3:;
(Address)
C'OYl ((?j)f ~5(Jfl/I(r?3
. (Electrical Contractor Name)
JJe #Re J
J (CitY) .
. Inc./Cbl
-clecl-ric
I (We)
H kif .5'7
wi 54115""
(State) (Zip Code)
1/ltt15 IIE'iI-k,.t 9 1:- (CPL{Vl3
(Name of party contracted to)
have been contracted to perform electric installation work for
at th~ following address: c5?)5 d1 r i ~0Jn W
(Address where work will be perfonned)
The nature of the work consists of: (Check One or Describe the Nature of Work)
---:i.. Reconnection or new circuit for replacement Heating Plant andlor Ale Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Bo~ alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will req~ a separate permit.
Reconnection. or new circuit for the replacement of other pennanently wired
appliances / fixtures.
New circuit for the addition of NC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), inc!uding required service
_ele.ctricaLQ:u.tlets.~__._.~__.__~_~_____~~~=::.=~~,~~"",,,,"'''''''_;~A~~'''~F_"''0'''''''''''"";,,,,,y,=;=~"
Other . '--. .
NOV 2R 7007
.r:< DEPARTMENT OF
The value of this work is $ /..(JO I OQ . COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
.J hereby verify this work will be perfonned by an employee of this company and :further verify
the reconnection / installation will be done in compliance with manufacturer and Ele.ctric code
c51JJ~
(Signature of Company Officer):
:YAv;.d JORc;u
(Print Name of Officer)
1;7/~/bJ
(Date)