HomeMy WebLinkAbout0098353-HVACOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
Chimney Type
Heat Loss
BTU Rate
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
1420 BISMARCK AVE
ANDRESEN SHEET METAL
Gas I [] oil q
DANIEL G/P E HUGHES
500 - Residential-Heating & Ventilating
Owner
Category
M Electric
[] Replace
~ Steam
[] Suppl.
Forced Air I [_~ Radiant
[~lectric ] U Hot Water
[] Solar
L-J A/C
~on. Burner
Chimney A (.~ Chimney B O Direct Vent ~ Not Applicable I
As Approved ~ Existing ~I Not Applicable I Value
As Per Plan (~ Variable ~ Other I Value
No 98353
Create Date 11/04/2002
Plan
[] Solid
[] Other
L--J Vent
Use/Nature
of Work
FFP,/
Four heat runs into 18x26 addition (6" PVC 3/4" insulation bottom, sides & 2" to be put on top). Runs in gravel below future 4" slab.
Fees: Valuation
Issued By:
$1,400.00 Plan Approval $0.00 Permit Fee Paid $26.00
Date 11/04/2002
[] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 2913 WITZELAVE OSHKOSH WI 54904 -6539 Telephone Number (920) 233-0323
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ECEIVED
DEPARTMENT OF
HVAC MENT
All i~fo~fio~ =~tez bo]d categ0des must be
I~co~lete apPhcafio= ~]1 ~ot b= pm%ssed.
O 'HKOfH
ON THE WATER
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account SYstem and have adequate_funds, check here
if you want. this pr° cesjed through your account [~
~gle Family F1DUPle~' r'lMulti-Family FiRental .... E3Commer¢ial E3'Ii~dUst~ai '
FUEL ~El~aC [3Electric F1Solid SYSTEM ~~-~' FIReplace
FIOil [] Solar ~ta~otner
Air []Radiant FiSteam FIA/C FiVent []Electric FiHot Wate~ FISuppl. FiCon. Burner
IS CHIMNEY BEING LINED [3No [3Yes - LINER SIZE /k/,/~-- & MANUFACTURER
Note: All chinmeys shall be sized per the BTU's being vented.
CmMNEY TYPE []c.C,,himney A FIChimney B ~Direct Vent FIOther
HEAT LOSS -~'As Approved []Existing [3Not Applicable
BTU RATE []As Per Plan []Variable [3Other Value
V~ (I~cluding labor and all materials including light fixtures) $~ .ff~O" ~ ~
ELECTmCAL COSTRACTOa
[] 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.