HomeMy WebLinkAbout0100955 HOSHKOSH
ON THE WATER
.lob Address 1114 N SAWYER ST
Contractor VANS HEATING & A/C INC
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner THOMAS R/LINDA GINTNER
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
100955
04/23/2003
Other J
Vent J
Use/Nature SFR/Replace furnace, install new central air & liner.* EIV from Concept Services attached.
of Work
Fees: Valuation
Issued By:
$3,562.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$59.00
Date 04/23/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 525 BUTLER ST DEPERE WI 54115 -5426 Telephone Number
(920) 336-2816
Cit3, of Oshkosh
Division of Inspection Scrvice~
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-$050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applicariom will not be ~ocessed.
.C),/HKOdH
ON ~E WAT~.R
* Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed ~o Inspection Services, PO Box 1128,
Oshkosh WI 54903-I 128. Gommencing work without p~rmit(s) will result in fees being doubled or $100.00 plus the
normal permit fcc, which ever is greater.
OR
[£ you are a cot~tractor pqrticilaatin~ ~n the Permit )re9 ,4ccount Svstqm and have (ldettuate funds, check J~ere
if_you want this procqssed throttRh your account ~
r-ICommcrcial DIndustrial
FUEL ~ E]El~tric ClSolid SYSTEM ClNew ~%'Flaee
COil I-ISOlar I-'lOther
TYPE
'J~6rced Air ElRadiant [~steam~'C EIVent ElElectric I~Hot Water r'lSuppl. ElCon. Burner
IS CHIMNEY BEING LINED DN~es -LINER SIZE ~ I / & MANUFACTURER,
Note: All chimneys shall be sized per the BTU's being vented.
CI-IIMI~EY TYPE VIChimney A V1Chinmey B VIDirect Vent CtOther
HRAT LOSS IZIAs Approved [~Existing VINot Applicable
BTU RATE EIAs Per Plan VlVariuble VIOth~r Value
VALUE (lnclndia8 libor and ~,11 materials including 118hr flit-res) $ ~.~"/__/~ ~
E~CTRiQAL'CONT~C~0R ~ ~etrlc Instalhflon Verlfleation form nitnehc~lt
Elect~l I~'taih~tion o~n~A*pla~n~t equi~wm ~all ~ d~c ~ itc~tt~ ~ntrd~or~
3/0~
Mar, 18 ~03:01PM Pi
Electric Znstallatlon Verifle~tion
(l~I~rimfl Contractor Nwe)
(Adding) (City) (Sine)
Code)
(Addr~s where work'(viii be pm*R)nncd~
The n~ur~ ofth~ work c, on~i~ of: (C~eck O~e or D~ribo the Nature of Work)
(~I~mo of party contracted to)
at the following addren: /// /-// ~, '~ t~.V...~..,~ -/-- ... _-
R.o~onn~tion or uow oircuit for repJ~m~nt He~ing P~ ~or ~ Co~.
R~fion or ~ ~t for ~~t EI~c W~ H~t~ ~ ~ vmted
wa~
R~~ of~ ~ En~ce C~Io, Me~ ~ ~t~ons ~ ~cl~
~ ~g flx~ d~ ~ ~ / ~ffit ~I~ Note: M~
~~ ~bi~ ~11 ~ a s~ ~it. '
N~ d~t ~ ~ ~ion of ~C m m mT~ d~ u~t ~ou~ or
o1~ ou~.
The value ofthL~ work is S_ 3_, ~,~R3.~ _.
· I hereby verify this work will be p~t'orm~d by ~m employee of this ~y ~d ~ v~fy
(~i~ZU~ of Comply Offi~)"