HomeMy WebLinkAbout0098463-HVACOSHKOSH
ON THE WATER
Job Address 2460 SECURITY DR
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner CRAIG DOWNS
Contractor ANDRESEN SHEET METAL Category 502- Residential-Both
Fuel b~J Gas I M Oil I M Electric I ~J Solar
System [] New I [] Replace
L~J Forced Air I [_J Radiant I L-J steam I L~J NC
[~ Electric I ~ Hot Water I L~ Suppl. I U Con. Burner
Chimney Type ~ Chimney A O Chimney B {~I Direct Vent ~..~ Not Applicable
Heat Loss ~11 As Approved ~ Existing ~ Not Applicable I Value
BTU Rate ~1~ As Per Plan ~ Variable ~ Other I Value
No 98463
Create Date 09/12/2002
Plan
II Solid
[] Other
Vent
Use/Nature ~NSFPJ Install new furnace, duct, A/C, bath & range vent in new home.
of Work
Fees: Valuation
Issued By:
$6,000.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided ]
$95.00
Date 11/06/2002
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
NOV '0 6 2002
HVAC PE
Incomplete applicadons will not be
o/HKO/H
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,,
(f you want this processed through _Four account
DATE
CHECK [] ALL~APPLICABLEr~ :': ": : : ~
US~ATEGORY .....
EISingle Family I"lDuplex F1Multi-Family F1Renta1 ' Elc0mme;cia!i i~ 0hdustriai .
FUEL Elias []Electric DSolid SYSTEM
[]Oil F1Solar
~orced Air []Radiant []Steam IE[A/C FIVent FIElectric
is cmNEY ] EI G LI nNo nYes - Ln, mR S ZE A/AL
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE I'lC~mney A I-1Chimney B
HEAT LOSS tD'As~pproved []Existing
BTUTRATE EB'As Per Plan F1Variable
D~..~TION OF ALL WORK BEING DONE
r'lOther
FIHot Watei F1Suppl.
& MANUFACTURER
r'lReplace
I"lCon. Burner
4EEl~irect Vent mOther
F1Not Applicable
[]Other Value
· VALUE (InCluding labor and ail 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 separ, ate Electrical Permit is required.