HomeMy WebLinkAbout0122133-HVAC (furnace) CITY OF OSHKOSH No 122133
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
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Job Address 2371 KATY CT ~ Owner DALBIR SINGH UTAL Create Date 10/17/2006
Contractor
VANS HEATING & A/C INC I
~
Category 500 -Residential-Heating & Ventilating
Plan
Fuel / Gas Oil i Electric Solar Solid
System ^ New ( i ^/ Replace ~ ^ Other
/ Forced Air Radiant I 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 Pian Variables Other Value
Use/Nature FWReplace furnace. EIV provided by Concept Services Inc.
of Work
I
a
Fees: Valuation $2,705.00 Plan Approval $0.00 Permit Fee Paid $52.00
Issued By: ~~~ I Date 10/19/2006
^ Permit Voided
Parcel Id # 0617840000
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 pertormed within two business days from the time the project is ready.
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City of Oshkosh ~
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130 ~~~ ~ 9 Z0~6 .~
Phone (920) 236-5050 (~
Fax (920) 236-5084 O.lHK01H
ON THE WATER
HVAC PERMIT APPLICATION
All 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 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greatei.
OR
If you are a contractor Darticipating in the Permit fee Account Svstem and have adequate funds check here
tf vott want thts processed throttQh your account n
DATE D I ~ O~
JOB ADDRESS ~ ~~ L ~t Q ~~ C'
CONTRACTOR \ IC~.k.~1
CHECK H ALL APPLICABLE
U E CATEGORY
Ingle Family ^Duplex
FUEL ~as ^Electric
Oil ^Solar
^Rental ^Commercial
SYSTEM ^New
^Other
^Industrial
~eplace
TYPE
Forced Air ORadiant OSteam ^A/C ^ ~ eat ^Electric ^Hot Water ^Suppl.^Con. Burner
IS CHIMNEY BEING LINED~To ^Yes -LINER SIZE & MANUFACTiJR$R~ ; -° ~---~ ~.~, _
~*
Note: All chimneys shall be sized per the BTU's being vented. ~~ A `{ ,~i
~. ~ .. ~ ;:
CHIMNEY TYPE ^Chimney A ^Chimney B ~irect Vent ^Other _
HEAT LOSS As Approved .existing ^Not Applicable (~)('~' ~~ ~ ~i~~~~~
BTU RATE ~As Per Plan ^Variable ^Other Value
DESCRIPTION OF ALL WORK BEING DONE Y1P.1~~ Sl ,~ ~~ Q-_ ~ ,' ~ ~ ,~:,,`~~~°
^~~
VALUE (Including labor and all materials including light fixtures) $ ~~~
ELECTRICAL CONTRACTOR OR „Electric Installation Verification form attached(If Replacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors
~.~~~ ~4~1 ago
~,~3g3a~- ~~60
3/oa
FROM CONCEPT SERVICES. FAX N0: 920-336-8697 Mar. 18 2003 03:01PM P1
City of Oshkosh
D~~is~on of lnspccGon $n
215 Church Av!rnue
PO Bnx 113Q
~ Oshkosh w1 54eo3a t 3a
orr~ azazs6saso
pu Tuc w i4 Faz 92a23~5064
OC`~ 19 ~00~ ~.~
is Installation Verification
(EIectri i al Contractor Name} -
(Address} {City) (State) (Zip Code)
have been Gar~tracted to perform ~eIectric installation work £ar . ~g'r!~ {~,~~,;~ Q ~- CLp~. ;~~
1/~ (Name of party contracted to)
at the following address: ~ ~~ ~ I! ~C
(.A.ddress where work will be performed)
i
The nature of the work consists of (Check One or I?escribe the Natnxe of Work}
',
kecannectian or new circuit far replacement Heating Plant ancJor A/G Condenser.
li,ecannection or new circuit for replacement Electric Water heater or power vented
water heater.
~teconnection of they Service Entrance Cable, N[eter Box, alterations to receptacles
and lighting fixtures due to siding / soffit instaIlaiian~. Note: I~Tew Service
Entrance Cables will require a separate permiit.
Reconnection or new circuit for the replacement of other permanently wired
appliances /fixtures.
_ New circuit for the addition of A/C to an individual dwelling unit (house or the
individual systems in a duplex ox condominium?, u~t~u_gy~~~s~ce ... .
. j -- -
,.
Other -
f ,- ; ~ ~~,., f
- ~ i L i
~'he value of this work is
(Signature of Company
J~UQ
_. , ; s~
='~ .6,~_ ~ _~,
~rformed by an employee of this company and further verify
be done in compliance with manufacturer and Electric Cade
(Print Name of pfficer) (Datc}
~.Fn~
~_ 5
~I hereby verify this work will be
the reconnection /installation wi
requirements. ~~,