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Home My WebLink About0143912-HVAC (furnace) el CITY OF OSHKOSH No 143912 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 893 HARMEL AVE Owner SETH ANVENDY M LAWSING Create Date 10/26/2010 Contractor VANS HEATING & A/C INC Category 500 - Residential- Heating & Ventilating Plan Fuel L✓j Gas Lf Oil LJ Electric IL Solar n Solid System 0 New 1 ✓f Replace n Other u Forced Air LJ Radiant LJ Steam LJ A/C J Vent Electric Li Hot Water U Suppl. I LI Con. Burner Chimney Type L) Chimney A () Chimney B • Direct Vent O Not Applicable Heat Loss J As Approved 0 Existing O Not Applicable Value BTU Rate J As Per Plan • Variable 0 Other Value Use /Nature SFR / Replace furnace. Install 6" chimney liner. EIV signed by Van's Electric. of Work Fees: Valuation $3,995.00 Plan Approval $0.00 Permit Fee Paid $70.00 Issued By: 0/724.4.._1 Date 11/02/2010 Permit Voided 1 Parcel Id # 1409942500 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 -1130 Phone (920) 236 -5050 Fax (920) 236 -5084 OfHKOfH 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 greater. OR If you are a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed throughyour account l • DATE, . I I I JOB ADDRESS' J Oa f — D .1 . OWNER h LC4 3' R ECEI CONTRACTOR y �5 rot � OCT 2 6 Z010 CHECK H ALL APPLICABLE DEPARTMENT OF COMMUNITY DEVELOPMENT USE CATEGORY INSPECTION SERVICES DIVISION '' Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial FUEL tiGas ❑Electric ❑Solid SYSTEM ❑New ❑Replace Oil ❑Solar ❑Other :rypE gliForced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner IS CHIMNEY BEING LINED ❑No 04Yes - LINER SIZE LO & MANUFACTURER 2-- F 4_ Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑Chimney A ❑Chimney B • Direct Vent ❑Other HEAT LOSS DAs Approved existing ❑Not Applicable BTU RATE DAs Per Plan 1KVariable ❑Other Value �i SCP OF LL WORK BEING DONE hr A _Cna C , �t�h �;-�, VC - VALUE (Including labor and all materials including light fixtures) $ J`" I 0 L) ELECTRICAL CONTRACTOR OR S lectric Installation Verification form attached(If Replacement) Electrical installation of new /replacement equipment shall be done by licensed contractors • 3/02 Division ion Oshkosh ofI Division of Inspection Services 215 Church Avenue PO Box 1130 a� cJJH Oshkosh 0- 54903 -I130 (` J l ffi2 -5050 ON THE WATER FOax ce 920 - 236 920 - -5084 Electric Installation Verification I(We) \JOJ 3 , ��'.f (Electrical Contractor Name) 53S I JJ fi 4-QQA,� w� { ' S (Address) Ci ( ty) (State) (Zip Code) have been contracted to perform electric installation work for I. _4 j • v 1 (1 _ (Name of party contracted ti) �" at the following address: nn I 3 (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. gAILLIALEIDAtt..)._ S A/Cr\ NO\116 \ Si ature of � V ( Company Officer) (Print Name of Officer) (Date) 5/02