HomeMy WebLinkAbout0104504-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1626 BOWEN 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 DAVID P/CASSAND QUICK
Category 500- Residential-Heating & Ventilating
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
104504
10/01/2003
Other
Vent J
Use/Nature SFR/Replace furnace, install A/C & chimney liner. *EIV form from Concept Services.
of Work
Fees: Valuation
Issued By:
$4,744.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$77.00
Date 10/01/2003
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.
SE~-2~-200~ 01:~3P FROM:
City otOshkosh
Division of Impcction Se~
P.O. Box 1130 ~?~*
Oshkosh, WI 54903-I 1 ~
Phone (920) 236-5050 ~ -
Fax (920) 23&50~
T0:lg20720@F~4 P:l~2
AP
Incompl¢~: applications will ~ ' 0~
AppliCation(s) and fee(s) can bc brought to City Hall, Room 205 or mai PO Box 1128,
Oshkosh WI 54903-1128. Commenc~g work wi~oul ~it(s) ~11 res~ in tees ~ng doubled or $100.00 pl~ the
no~al p~it f~e, which ever is ~mter.
OR
iLv_ou want thil ~roc~thr?ugh ~OUr account ~
JOB ADDRESS
OWNER
CONTRACTOR
CHECK ~;a ALL APPLICABLE
.U~E CATEGORY
ingle Family E]Duplex nMulti-Family I-IRental FICommcrcial
FUEL ~Gas ElElectric Ul$olid SYSTEM EINcw
DOll I::lSolar ElOther
Ellndustrlal
~]~eplaee
ced Air [2Radiant I'lStcam EIAJC U1Vent [3Electric E]Hot Water ElSuppi.r'lCon. Burner
15 CHIMNEY BEING LINED r'lNo ~,es - LINER SIZE 3t! & MANUFACTURER
Note: Ail chimneys shall be sized per the nT0's being ven~d, -
CIIIM.NEY TYPE ElChimncy A ["lChimncy B ElDtrect Vent [2Other
HEAT LOSS I-lAs Approved U1Existing r3Not Applicable
BTU RATE U1A$ Per Plan V1Variable E]Othcr Value
"AL"E ,..,.dm,,..ora.d .,, ..,.,a,, ,..,..,., .,., ..,.r..); //''-'/':-/'- 4"d'0'¢'
- -r
~EP-Pg-2003 01:43P FROM:
FROM : CONC~T
?AX NO. : 9~B-BB6-8697
TD:1920T20~544 P:2/2
Mar. lB 2003 B3;O1PM P1
Electric Installation Verification
(Ad~s) (Ciw) (Btate) ~ip C~e)
~e ofp~y con~t~
(Aaar~ wher~ wo~ ~I1 be p~o~) ....
work ~ o~ (~¢~k ~ or D~b~ ~e ~a~ of Work)
~e~o~on or u~ ~uit ~r ~l~t H~g Pl~t ~or ~C ~d~s~.
wat~ heaer.
~d ~g fix~ due to ~d~ / soffit i~all~. Note: N~
~~ or ~ c~t ~r t~ r~l~ of o~ p~y
~li~ / fixing.
N~ ci~ for ~e ~goa of MC to ~ indi~l d~e~ing ~t ~ouse or
elec~
r~uirements. ~ -
($i,~atur¢ of Company Of Y~r)
I hereby verity ~his work will be performed by an employee of this company and further verify
the recormection / installat/011 will be done in compliance with mantffa~t~rer and ~'tri~ code
(.~dnt N~me of Office)