HomeMy WebLinkAbout0104129-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1818 ARIZONA ST
Contractor VANS HEATING & A/C INC
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner KENNETH J KOENIGS
Category 502- Residential-Both
L~ Electric
New ] ~] Replace ]
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~) Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss ]~ As Approved ~ Existing O Not Applicable ] Value
BTU Rate ]~ As Per Plan ~) Variable ~ Other ] Value
No
Create Date
Plan
~ Solid
104129
09/11/2003
Other ]
Vent
Use/Nature SFR/Replace furnace and A/C. Install chimney liner and perform duct cleaning. *EIV form from Concept Services.
of Work
Fees: Valuation
Issued By:
$4,944.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$80.00
Date 09/11/2003
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.
Cit~ of'O~hkosh
Division of~sp~cdon
P.O, Box 11~0
Oshkosh, WI 54903-1130
Phon~ (920) 236-5050
Fax (920) 23~508n
RECEIVED
SEP 1 'i 2005
DEPARTMENT OF
COMMUNITY D EVE LO PM E N~'~/'}-IKOj'
HVAC PERMIT APPLICATION
All information after bold categories must be provided,
Incomplete applications will not bc proccsscd,
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to ~sp~cfion Sennc~, PO Box 1128,
Oshkosh Wi 54903-1128. Commencing work without permit(s) will ~sult
noel p~it ~e, which cv~ is greater.
OR
lf ~ou are a ~ractor ~art~cipating in th~ Permit f~e ~ccount ~vste~ and have adea~ate t~nds, c~eck here
DA~
C~CK ~ ~L APPLICA~E
xU~E CA.GORY
~le Family ~Dupl~x UMul~i-F~ily URental ~CommarCial ~dust~al
F~L ~as DEIcc~ DSolid SYSTEM ~N~w ~epl~e
UOil USoI~
~ed A~ ~diam ~Steam
No~: All ~hi~y~ ahall
C~NEY TYPE ~Chi~ay A ~Chi~y B ~Direet V~m ~Oth~
~A~ LOSS ~As ~ov~d ~Bxisting ~ot Applicable
BTU ~T~ ~Aa P~r P~n ~V~iable ~O~h~ Val~
£/Id WdIE:IO £1~a 60 'daS OSGEgE£OaG: 'ON XO3 UNIL~BHSN~A<I~DIA: NOa3
FRO'I : CONCiiPT SERVICli$,
FAX HO.
~ar. 1~ 2e03 03:01PM
Electric Installation Verification
at the following addr~:
The nature ot~ the work ~ ot~ (Check One or Desex'hz lhe Nainm of Win'k)
)~ R~onn~clion or new circafit for r~pla~n~ H~afing Phmt and/or MC Conden~r.
__ Reconn~tion or n~' ci~uit for replae~nent Electric Water Heater or power ve~t~
water heater.
R~eom~ztion oi'the Service Entrance Cable, Meter Box, altemtim~ to recopta~le,
a~d lighting fixtures due to siding / soffit installalion. Note: 1,Jew Servic~
Enlrano~ Cab]es will req .ulr~ a separate permit.
~ Reconneallon or new circu{t for the repls~ement of other perman¢lltl¥ wiv~l
applial~ / fixturca.
New ciralit for the additiol~ oFA/C to am/ad/v/duo/dwe//iag Imtt 01otl~ or Itle
individual ay~ms in a dupl~ or e,o~ulominimn), in,lung requi~t s~vioe
electrical outlets.
Thc value ofthis work
,I hereby re, fy &is work w/Il be performed by an employee of this compauy and ~trthcr verify
the reconnecfian / in~tallafion will be done in complianoo wi~h manufacturer and ~h~o. lai~ code
[~t~'llitUm ur Comp~20l'fl~.or) :'
~dI~:~O £00~ 60 'd~s
OSG~9££O~G: 'ON X~dJ
9NI±~HSNUa< IXOI(/: