HomeMy WebLinkAbout0104754-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 323 W 8TH AVE
Contractor VANS HEATING & A/C INC
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner HEIDI M WIELAND
Category 501 - Residential-Air Conditioning
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 I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
~ Solid
104754
10/13/2003
Other ]
Vent
Use/Nature SFR/Installing A/C. *EIV form from Concept Services.
of Work
Fees: Valuation
Issued By:
$3,634.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$60.50
Date 10/13/2003
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.
0CT-10-2003 12:3~P FROM:
TO:lg20720B~ P:2x2
City o f O~n~kosh
Oshko~.P'o'Divisi°n of lns~ction ServiCesphoneBOx(920)wl1130236.$0505~,903. l 130 ~EcEtV~
HVAC PERMIT APPLICATI0 RT E T 0F
All ~o~fion aft~ bold mtegofi~ m~t bep~.~ ~.r~ ~D~CN~
incomplete applications will not bc~t~ 0~:L~'~"'
Application(s) ~d fe~s) can be brought to Ci~ Hall, Room 205 or mailed to hs~cfion S~ces, PO Box 1128,
Oshkosh WI 54903-1128. Co~cncmg work ~thom peat(s) will result in fees b~ng doubled or $100.00 plus ~e
noel p=~it fee, which ever is ~at~.
OR
If you ar~ a contractor oart/cipatinR in the Permit fac JccO~nl ~va'lem and have adeauatd funds, check ~r~
if vou want t~t.~ proce~se~t~roueh your aqcount ~
OWNE. /-/,','d ,'
CHECK ~ ALL APPLICABLE
11CATEGORY
gle Family UIDuplex OMulti-Family ElRental ~Commercial
FUEL ~s UIElec~c ~Solid SYSTEM C1New
ElOil I'l$olar C]Other
Vllndustrial
EIReplac¢
ced Air ElRadiant EIStcam C E]Vent l-lElecmc E]Hot Water ElSuppl.f"lCon. Burner
IS CHIMNEY BEING LINED ~No I-lYes - LINER SIZE & MANUFACFURER.
Not~: All chimneys shall be sized par the BTU's beit~ vented.
CHIMNEY TYPE l-IChimney A E]Chinmcy B
HEAT LOSS I-lAs Approved [3Existing
BTU RATE l-lAs Per Plan t-qVafiable
DESCRIPTION OF ALL WORK BEING DONE
I3Direct Vent EIOther
f"lNot Appl i cable
t'lOther Value
0CT-10-2003 12:38P FROM:
' FROM ? CO;'~PT
T0:19207208644 P:l/2
Electric Installation Verification
(l~le.,ctfical Co.trak{or Name)
havc bcaz comracted to pcrforrn elecuic inst~at~on work fo~'
I ..5-
(State) (Zip Code)
(Address where wodc will be pe~otmed)
The na~m'e o~e work co~s~ o~ (~k ~e ~ D~be ~e N~ of Wo~)
~ Re~cfi~ or aow o~t ~r r~l~t H~g P~t ~or ~C Condo.
R~fi~ or nOw ~t f~ r~l~t ~cc~c W~ H~t~ ~ ~w~ v~
~ h~r.
~ H~g fix~ due to ~d~ 1 so~r ~l~ ~t~
a~li~c~ / fix~.
Thc va]ue ofthis work is $
. 00.o0,.
hereby verify this work will be p~-formed by an employee o£this ~'npany ~ hrth~r v~ri£y
:he ~connecfion t insta~tion will be done/n compliance wi~h mamtfac~rcr and Blectric code
(Signature of Company Officer) ' '--
Q~tc)
C~'~t Name o~'Office0