HomeMy WebLinkAbout0151330 - HVAC replace AC 0 CITY OF OSHKOSH No 151330
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2653 W 9TH AVE Owner KATHERINE L SAEMANN Create Date 07/23/2012
Contractor VANS HEATING&A/C INC Category 511 -Ind.&Comm-Air Conditioning Plan
Inspector Nicole Krahn
Fuel 1 Gas 1 I f Oil I I Electric Solar Solid
System 7 New 1 n Replace n Other
I_ Forced Air j u Radiant _I Steam U NC I u Vent
I I Electric LI Hot Water I Suppl. Li Con. Burner
Chimney Type 0 Chimney A O Chimney B O Direct Vent • Not Applicable j
Heat Loss 0 As Approved O Existing • Not Applicable Value
BTU Rate 0 As Per Plan O Variable • Other Value
Use/Nature 1CONDO/REPLACE NC, ELECTRICAL CONTRACTOR IS VOS ELECTRIC **check#47415
of Work
Fees: Valuation $3,406.00 Plan Approval $0.00 Permit Fee Paid $62.50
Issued By: all-7; Date 07/23/2012
❑ Permit Voided I Parcel Id#1311970113
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 920-347-4487
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
(4-1—Dir
Phone(920)236-5050
Fax (920)236-5084 Of HO/H
ON TI-4E 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 through your account n
•
• DATE 7 /a//„7
JOB ADDRESS S �_ 9- AV P
OWNER •KOLfk,y S(Aeyrla.vl n
CONTRACTOR V&A`s t-4-e ,n 9
CHECK H ALL APPLICABLE
U§E CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL ❑Gas DElectric ❑Solid SYSTEM ❑New 11,Replace
❑Oil ❑Solar ❑Other
TYPE
❑Forced Air❑Radiant ❑Steam'A/C OVent DElectric OHot Water ❑Suppl.❑Con. Burner
IS CHIMNEY BEING LINED iNo ❑Yes - LINER SIZE &MANUFACTURER
• 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 DExisting ❑Not Applicable
BTU RATE aAs Per Plan ❑Variable ❑Other Value
DESCRIPTION OF ALL WORK BEING DONE f'e I c L 6,1 C' ;
VALUE (Including labor and all materials including light fixtures) $ .3;140 6 . 00
ELECTRICAL CONTRACTOR Vo s Ff ec.Lc,'c.. OR ❑ Electric Installation Verification form attached(If Replacement)
Electrical installation ofnew/replacement equipment shall be done by licensed contractors
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