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Home My WebLink About0134131-HVAC (furnace)OSHKOSH ON THE WATER Job Address 809 GROVE ST CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD Owner JOSEPH M VANDERHEUVEL No 134131 Create Date 11/17/2008 Contractor VANS HEATING & A/C INC Category 500 -Residential-Heating 8 Ventilating Plan Fuel / Gas Oil Electric Solar Solid System ~ New ~ Q/ Replace ~ ~ Other / Forced Air Radiant Steam A/C i Vent ~, Electric Hot Water ~ [~Suppl. ~ [~Con._Burner _'~ Chimney Type Chimney A Chimney B Direct Vent _ ~ _Not Applicable. Heat Loss As Approved Existing ~ot Applicable _ Value BTU Rate As Per Plan Variable ~ther __ _ ', Value 54,000 selNature FR /REPLACE FURNACE, EIV SIGNED BY VA N'S ELECTRICAL ""check #42681 of Work Fees: Valuation $3,300.00 Plan Approval $0.00 Permit Fee Paid $59.50 Issued By: Date 11/21/2008 Permit Voided Parcel Id # 1105940000 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 54903-1 1 30 Phone (920)236-5050 Fax (920) 236-5084 HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. O.lHK~.lH ON THE WATER • 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 DATE ~~ I I~ I ~~ U E CATEGORY dingle Family FUEL ~ras ^Oil ^Duplex ^Multi-Family ^Electric ^Solid ^Solar ^Rental SYSTEM ^Commercial ^Industrial ^New ,~eplace OOther PE orced Air ORadiant ^Steam ^A/C ^Vent ^Elech-ic ^Hot Water ^Suppl.^Con. Burner IS CHIMNEY BEING LINED~1o ^Yes -LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ^Chimney A ~himney B ^Direct Vent ClOther HEAT LOSS ^As Approved Existing ^Not Applicable BTU RATE ^As Per Plan ^Variable Other Value -~-`7 ~~ DESCRIPTION OF ALL WORK BEING VALUE (Including labor and all materials including light fixtures) $_~Jc J~X_J-- ELECTRICAL CONTRACTOR OR~Electric Installation Verification form attached(If Replacement) Electr al iastnl/ntion of new/replacement equip rent ska/l be done Gy licensed contractors ~Sc~~~ ~~~ ~~ 3/02 CHECK H ALL APPLICABLE City of Oshkosh Division of Inspection Services 2 ] 5 Church Avenue PO Box 1130 K H Oshkosh WI 54903-1130 Office 920-236-5050 orurHe wxr Fax 920-236-5064 Electric Installation Verification ~o~c ~~ ~~ ~~ec~ C_ I (We) ~ ~~ (Electrical Contractor Name) (Address) (City) (State) (Zip Code) have been contracted to perform electric installation work for i (Name of party contracted t ) at the following address: ~ ~~e (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) Reconnection or new circuit for replacement Heating Plant and/or A/C 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 require a separate permit. 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 or condominium), including required service • electrical outlets. Other The value of this work is $ I hereby verify this work will be performed by an employee of this company and further verify the reconnection /installation will be done in compliance with manufacturer and Electric code requirements. ~c~ ~~~~_ __ ~ 08" (Signature of Company Officer) (Print Name of Officer) (Date) sio2