HomeMy WebLinkAbout0105047-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1246 CEDAR 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 MR/MRS WILLIAM SCHOONOVER
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
105047
10/10/2003
Other J
Vent J
Use/Nature SFR/Replace furnace and install chimney liner. *EIV form from Concept Services.
of Work
Fees: Valuation
Issued By:
$2,295.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$39.50
Date 10/30/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 525 BUTLER ST DEPERE WI 54115 -5426 Telephone Number
(920) 336-2816
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
0~CT-8-20~3 08L42A FROM:
Cio/of Oshkosh
Division of ht~pecfion Scn'vice$
P.O. Box 1130
Oflflcosh, W l 54903-1130
Phon~ (920) 23~-5050
TD: 1920720@[~44 P: 1/2
OCT 2 7 200J OCT 1 0 2005
Fax (920) 236-5084
DEPARTMENT
All m~drl?la[io~t~l{~:l~0~i~.os mu~t b~ provi~
Appliea, on(s) and fee(s) can be brought to CiW Hall. R~m 205 or ~fl~ 'o Inspe,~ ~~o~I ~ D
Os~osh WI 54903-1 I2& Co..,encinfl work wi~out ~i,(s)wi, result in f~ ~ing dou~fb0~lus the
no~a] pe~it fcc, w~ch ever is ~eater.
OR
Il'You are a contractor ~articipatinl~ in the Permit ~em and have
ti' l~ou want this t~roc~yxqd through vouq ~tcctiunt ~
CIiECK t~ ALL APPLICABLE
nCA'I~GORY
gle Family rlDnplex I-IMulfi_Family
ElRental ElCommereial Ellndustrial
FUEL ~ooaS ~Electric ElSolid SYSTEM EINew ~Replaee
il ~Solar ~Oth~
g~ed Air ~Ra~t ~Ste-- =~C ~V~t ~EI~.e =Hot Wmer ~Suppl.~Con. B~ ~,
C~NEY T~E ~Chimney A ~Chimney B ~Direct V~t ~~ ~
~AT LOSs ~ Approved ~Exist~g ~Not Applicable .
ELE~RICAL CONTI~CTOR~- ~ ~ Eleclrlc In~allafion V~iflcaflon form anachedflt'Repl~nO
Elect~cal ~stallntt~n of new/~lacemott equipment shall ~ done by li~nseg contractors,
0CT~-8-20~3 00~q3R FROM:
~R>( NO. : 920-33~-B697
TO: 192072086q4 P:
Mar. lB 2003 ~:01PM Pi
Electric Installation Verification
([~l~;.h k=ul Contractor Name)
~e ~ ~e wo~ co~ o~ (~eck ~e or D~e ~e Ea~ of
~ R~O~ or Row ,h-~t f~ ~t El~c W~ R~t~ ~ ~w= v~t~
wat~
--. R~fiou of~e Se~ ~ce C~I~ M~ ~x, ~t~as to r~d~
md ~ ~x~es due to ~ding / so~t i~l~. Note: N~
ER~ ~b]~ ~ ~ a ~te ~it.
R~ ~ n~ c~u/t ~r the ~lac~eRt of o~ ~y
N~ d~t ~r ~e ~fio~ of ~C ~ ~ indi~I dwell~g ~ ~ou~ or ~e
~di~d~ s~s ~ a dupl~ ~ ~ndom~), ~clu~ng ~ ~ce
Thc value of this work is
-I hereby verify this work will be perform~l by an employee of this comply and further verity
the r~ormection / installation will be done in compliance wi~ manufactm'cr and ~le.*~ic code
rcqmrementz, ~ ,
(Signature of Company OffiCer) (Dale)
(tadnt Name of Officer)