HomeMy WebLinkAbout0105499-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1125 W 19TH AVE
Contractor VANS HEATING & A/C INC
Fuel
System
Gas J ~J Oil
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner BAUKEN S/TRACY NOACK
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B ~ Direct Vent O Not Applicable I
~) Existing O Not Applicable I Value
~ Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
105499
12/01/2003
Other
Vent J
Use/Nature SFR/Replace furnace & A/C. *EIV form from Concept Services.
of Work
Fees: Valuation
Issued By:
$8,084.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$126.50
Date 12/01/2003
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.
~]U-~q-~00~ 02:04P FROM:
TO:1980T2B8644 P:2~2
Map. lgAI~3 03:~PM
Electric Installation Verification
bare been eo~tra~.ea to ~ elee~e installatio~ work ~or
(z'w Code)
where work will be pefformea)
The na~e of'the work ooasists oi~ (Chink One or Desex'be the Nata~ of Wodc)
__ Reco~eo~on O~ ~ew ~c,t~t for r~lacement Elcctrk Water
w~:z 1~ea~r.
,, Reconnealion of the ~ ~
~d ~ ~ due ~
~ ~~ ~for~e~l~o~~~
el~ o~.
The value of this work is $_ _~00.00 .
.I hereby vedt'¥ ~his work will be performed by an employee of t~i$ company and ftttthcr vehfy
the ~econnec~on / instalta~on will be d~ne in compliance with n~nufactorer and :Elcctric code
requirem~.ts,
" - ~Signamre o~:Company Of~c~r) '
d [Pof?ou
(l~int Name of Officer)