HomeMy WebLinkAbout0103857 HOSHKOSH
ON THE WATER
.lob Address 1470 NORMAN CT
Contractor ANDRESEN SHEET METAL
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner JEREMY & ANNE MARIE BIRSCHBACH
Category 502- Residential-Both
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 O Direct Vent ~ Not Applicable I
Heat Loss ]O As Approved ~ Existing ~ Not Applicable ] Value
BTU Rate ]~ As Per Plan ~ Variable ~) Other ] Value
No
Create Date
Plan
~ Solid
103857
05/22/2003
Other ]
Vent
Use/Nature NSFR/ LATE PERMIT/Install furnace, A/C, ductwork and make up air.
of Work
Fees: Valuation
Issued By:
$5,900.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$93.50
Date 09/02/2003
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 Service~
P.O. Box 1130
Oshkosh, WI 54903- l 130
Phone (920) 236-5050
Fax (920) 236-5084
;: HVACPERM ITAP PLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
Application(s) and fee(s) can be broughtto City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Osl,~sh WI 54903-1128. C(~dmencing~work without permit(s) Will result in fees being ¢oubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I£ vou are a contractor participatinG in the Permit Ice .4ccbunt Svstem and have'ade~i~ate [unds,' ~hkck here
if You want this processed through V~ur account [~ ~
CHECK [] ALL APPLICABLE
amGORY
ily ~Duplex E]Multi-Famfly F1Rentat
FUEL -E~as []Electric I-ISolid SYSTEM
[]Oil []Solar
I~ Commercial Fllndustrial
~ FIReplace
TYPE
~d Air BRadiant []Steam ~ nVent F1Electric
IS CHIMNEY BEING LINEDF1No []Yes - LINER SIZE//['/,~
Note: All chimneys shall be sized per the BTU's being vented.
CItlMNEY TYPE F1Chimney A []Chimney B
H ~:AT LOSS ~ ~Approved []Existing
BTU RATE .12'A~-Per Plan []Variable
DESCRIPTION OF ALL WORK BEING DONE Affze~o
[]Hot Water' []Suppl. []Con. Burner
& MAm ^crtrm R--
..E~rect Vent
FINot Applicable
[]Other Value
VALUE (Including labor and all materials including light fixtures) $ ~)
ELECTRICAL CONTRACTOR
[] For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.