Loading...
HomeMy WebLinkAbout0128332-HVAC (furnace) CITY OF OSHKOSH No 128332 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1199 SAWTELL CT Owner VERE W/JULIE A JOSEPH Create Date 01/04/2008 Contractor VANS HEATING & A/C INC Category 500 -Residential-Heating & Ventilating Plan Fuel / Gas -~ Oil ~ Electn'c ~ Solar ~ Solid System ~ New ~ [/ Replace ~ ~ Other /~Forced Air Radiant ~ Steam A/C -~ Vent Electric Hot Water ~ Suppl. -~ ~ Con. Burner Chimney Type Chimney A Chimney B Direct Vent Not Applicable Heat Loss As Approved Existing Not Applicable Value BTU Rate As Per Plan Variable Other Value 70,000 Use/Nature SFR /REPLACE FURANCE, EIV SIGNED BY CSI ELECTRIC **check #41288 of Work Fees: Valuation $3,400.00 Plan Approval $0.00' Permit Fee Paid $62.50 Issued By: (~~~ Date 01/04/2008 Permit Voided Parcel Id # 1612600000 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 Address 525 BUTLER ST Agent/Owner 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 K ' ~~ ? ' - " ; P,O. Box 1130 J~~ ~ ~~~~ Oshkosh, WI 54903-1130 Phone (920} 236-5050 (~°~F"f~,s•t v~~,;; ~. ~~ Fax (920)236-5084 ~Ul"s~i~ki~ Ii °' ~~~`L ~.~~'~~~=U~' ~~~--~IV~~~ ON THE 1NATER HVAC PERMIT /~-PPLICATfON Ail 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 X4903-1128. Commencing work without permit(s) will result in fees being doubled or $140.00 plus the normal permit fee, which ever is greater. oR ' ` _t o ( DATE JOB ADDRESS~~ !~ ~, ~J ~~"~..~1 ~'' OWNER ~ ~'~ ~yR- CONTRACTOR v1 C~~ d CHECK H ALL APPLICABLE USE CATEGORY Ingle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial FUEL Chas ^Electric ^Solid SYSTEM ^New ~7Replace ^Oil ^Solar ^Other PE orced Air ^Radiant ^Steam ^A/C ^Vent ^EIectric ^Hot Water ^Supp1.^Con. Burner IS CHIMNEY BEING LINED ^No ~i'es -LINER SIZE t-~~ & MANCIFACTURER ~ "'~-~ ~ C ~. Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ^Chimney A ;~dChimney B ^Direct Vent ^Other BTU RATES ^As Per Plan d ^ ariab e ~OtherAValueble ~ ~~ DESCRIPTION OF LL WORK BEING DONE VALUE (Including labor and all materials including light fixtures) $ ~~~ __.. ELECTRICAL CONTRACTOR OR ,1~Flectric Installation Verification form attached(If Replacement) ~'lectrica! installntion of new/repltrcentent equipment sltal! be done by licensed conductors ~YVL~~ ~2 ~ LQa'SL~ s/oz FROM : CONCEPT SERVICES. c`.ity oFt}~hlc~-sh DiviSibn pflnspceGon SeMGeS 2!S Church Avenue Fa Enx 113U ~~ ~ Qshkash WI 549Q3..1I3o OIFxx 724-2355050 ,,, iQ Fax 920-2350&4 FAX N0. 920-336-8697 Mar. L8 2003 Q3: N1 PM P1 a~~ ; ~_ . ~ _ _ ~ ' JAI 04 2~~3 ((~~ CeJE`~1~'4Ora'~~~.~T~ :.:fe~~'L:~.~~€ t> T~ i 1E1~~e c~..A,.jf R~14. rY 4~ ~~..: ~. ~`~ j. p. "y~F4 Ele~1~>ric Install~fio~ Verificatic~~ ~~ {Electrzcal Contracta~- I*Fatne} (Address} (City) (State) {Zip Code} 1 have been co~ztracted to perfozm electric installatiazz vvprk £ar _. ~A'rt...~ ~'~¢~,~ c,~, ~- ~-~7~, i~~c . (Name of party contracted tal at the fall©wir~g address: ,~~"6 ~~i til~'~ t,~ ~ ..~"`~ 11 ~` (.A.ddress where ~uvarlG will be perfarrned) The nature Qf the work consists of (Check f~?ry.e ar Describe the Nature of Warlc) R.ecavnectioz~ ar xtew circuit fc~r replac~nent Heating F.lant and/or A/C Condenser. ~,ecannectiatl pr I3ew cireuzt far replacen3.ent .Electric Water Heater crr power ve~.ted water heater. .TLsconnection of the Service Entrance Cable, Meter ~a?~, alterations to receptacles and lighting fixtures due to siding / soffit installatiaz~. Nate. h1'erv Service Entrance Cables will reSuire a separate perzi~it, ' _ I~..econzxectian. or new circuit fox the replacement of other permanently wired appliances / fixtures. New c#rcuit ftlz the addition of A/C to an ind'ivi~al dwelling unit (hattse or the individual. systems in a dulslsx or carldominium), including required sezvice ~...,~.. electncai_out7ets.~__._._,__..___,~,~~_ _.~.... Qther _ .. Tl~c value afthis wt~rl< is $ ,~C~Q7C7C,~ ~I hereby verify this work will be perfozmed by an employee of this company and fi2rther vextfy the xecannection. /installation will be done in compliance with manufacturer axxd Electric code requirements. 4 (Si~att~re of Company Officer} ' (Print Name of pfficer) (D~e)