HomeMy WebLinkAbout0103560-HVACOSHKOSH
ON THE WATER
.lob Address 442 W 16TH AVE
Contractor ANDRESEN SHEET METAL
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner CURT J/VICTORIA SOWERS
Category 500- Residential-Heating & Ventilating
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
103560
08/15/2003
Other ]
Vent
Use/Nature SFR/Add 2 heat runs to second floor and 1 return a~r.
of Work
Fees: Valuation
Issued By:
$575.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$20.00
Date 08/15/2003
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 2913 WITZEL AVE OSHKOSH WI 54904 -6539 Telephone Number
(920) 233-0323
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1 t30
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION '
All infom~tion ~ beld cate~o~es ~]~'~. 0 F
co /, ete
* A~li~fi~s) ~d fee(s) c~ ~ ~u~t ~ Ci~ ~1, R~m 205 or ~il~ ~ ~cfion S~, ~ Box 1128,
Os~osh ~ 54903-1128. C~mo~g ~rk M~o~ ~t(s) Mlt result in.fe~s ~ing doubl~ or $I00,~ plm
n~ ~t fee, w~ch ev~ is gear.
ff vou area contractor vartictvattna tn the Permit ~ee Ae~ou~t SYstem and h'av~ ad~d~ate ~unds~ ~e~eek here
ff Vou want this ~roc~s~a t~r~ugh .~o"~ .~ccount
CHECK ~ ALL APPLICABLE
Vsr_.r-A c,o Y
EYSingle Family ElDuplex UIMulti-Farnily
ElRental [3Commercial Ellndustrial
FUEL -E~Gas ~Electric EISolid SYSTEM
ViOil I-lSolar
~o~r~Air ElRadiant ViSteam 'r'IA/C E]Vent E]Electric V1Hot Water ViSuppl.
IS ~Y BEING LINED EINo [lYes - LINER SIZE./V'/~'~'~ & MANUFACTURER
Note: All chimneys shall be sized pet the BTU's being vented.
ViNew
EICon. Burner
CHIMNEY TYPE ~Chi~cmey A ViChimuey B EIDirect Vent DOtber
HEAT LOSS I-lAs Approved VIE, x/sting [~Not Applicable
BTU RATE I'lAs P~r Plan EIVariable ElOther Value
J
VALUE (l~¢luding labor and all materials hlelu~ng light flxtare~) $ , ~?~-~'0 0
Er cnucArco r xcroR , A//4-
D For applicable projects, an Electric Installati°n Verification form, signed by th~ Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.