HomeMy WebLinkAbout0098772-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
508 MERRITT AVE
ANDRESEN SHEET METAL
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
98772
Gas I ~ Oil I
[] New
~ Forced Air
L] Electric
Chimney Type ~) Chimney A (_~ Chimney B
Heat Loss ~ As Approved O Existing
BTU Rate ~_~ As Per Plan ~ Variable
Owner EUGENE F BERGER
Value
Value
Create Date 11/22/2002
Plan
I [] Solid
[] Other
Vent
Category 502 - Residential-Both
~J Electric t [~ Solar
[] Replace I
U Suppl. I L~ Con. Burner
~11 Direct Vent (..,~ Not Appli~ble ~
~ Not Appli~ble ~
~ O~er
0
60m btu & 2 ton a/c
Use/Nature SFPJ Furnace upgrade & a/c add on. *EIV form from Seckar Electric.
of Work
Fees: Valuation $3,300.00 Plan Approval $0.00 Permit Fee Paid
Issued By:
[] Permit Voided i
$57~50
Date 11/22/2002
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 WITZEL AVE 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
RECE VEI:
NOV 9 ?
or O/HKO/
HVAC PERMIT AP DEYF. LOP ENT
All i~fo~tio~ a~e~ bold cam~ofies must be prodded.
[~co~]ete app]icafio~ wfl] ~ot be processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-i 128. Commencing work without permit(s) will result in .fees being,doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I£you are a contractor participating in the Permit fee Account System and have'.adequate £unds, check here
if you want this proce~ssed through your account [-]
CHECK [] ALL APPLICABLE
~TEGORY
-EISingl¢ F~LrnilY [~Duplex'
rWL
nOil
F1Multi-Famil~ ' [:]Rental
FIElectric F1Solid SYSTEM
F1Solar
izIcbmiiiei:cial ' ' IZllnduSfrial'
FIOther
TYP
~Air F1Radiant [lSteam ~ F1Vent FIElectric
IS CHIMNEY BEING LINED I"lN~es - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE F1Chimney A [lC~himney B
HEAT LOSS I-lAs Approved M~xisting
BT~U RATE [lAs Per Plan [lVariable
DESCRIPTION OF ALL WORK BEING DONE /~9~'~
IZIHot Water [lSuppl. [iCon. Burner
~ct Vent [lOther
121Jther Value .
VA~ (Includ!ng labor.and 811 materialg~Cluding light fixtures) *
[] 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.
FROM
: SECKAR ELECTRIC
FAX NO. : 9202513950
Ju 1.
12 2002 09:54PM P1
Electric I~st~ltation Yeriflca*ion
Th~ namr: of~w. ork c~ts oE (~a~ck One or D~be
~~on or n~ ~rcui% for :~l~em~ ~ ~w~r Ae~ or pow~ v~:ed
~~ti~ ~{ ~ Se~c~ ~n~e C~, Memr Box, el~a6ons m ~p~l~
N~ ~t for ~e ad~ of~C to ~ ~viduaI dw~tH~g ~t ~o~ or the
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