HomeMy WebLinkAboutHVACOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
821 RIDGE LN
ANDRESEN SHEET METAL
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
99082
Gas
[] New
Forced Air
Electric
Chimney Type ~ Chimney A (.~ Chimney B
Heat Loss ~ As Approved ~1t Existing
BTU Rate ~ As Per Plan (-.2 Variable
Owner JOHN/KATHY LA BUWI
Category 500 - Residential-Heating & Ventilating
~ Oil I ~j Electric I ~j Solar
[] Replace I
L-~ Radiant j ~1 Steam J ~J NC
~ Hot Water } ~ Suppl. I ~ Con. Burner
~ Not Applicable
O Not Applicable I '
O Other I
Direct Vent
Value
Value
Create Date 09/06/2002
Plan
bi Solid
[] Other
Vent
75m
Furnace upgrade.
Fees: Valuation $1,400.00 Plan Approval $0.00 Permit Fee Paid
Issued By:
[] Permit VoidedI
$26.00
Date 12/13/2002
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
RECEIVED(
DEC 1
· . O/HKO/H
· ~ ON THE WATER
HVAC PERMIT API~~~¥~I~E~ELO?NIENI~°'
Alt ~fo~tio~ aflc= bold categories must be provided.
Incomplete applicafiom wffi ~ot 6c p=occsscd.
ApphCa~on(s) ~d fec(s) can bc brought to C~ ~]1, Room 20~ o= ~lcd to ~sPccfio~ S~viccs, ~O Box 1128,
Os~osh WI 54903-1 lg8. Co~c~ci~B work ~thout pc~it(s) ~l] result in fccs bc~n~ doubled o~ $100.00 p]~
no~a] pc~it fcc, which evc~ is ~cat~.
OR
~ ~o~ w~t lh~s processed through yo~r account ~
City of Oshkosh
Division of Inspection Se~ices
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
JOBADDRESS 2o~/ ~//~.fG~5
CHECK [] ALL APPLICABLE.
USE~kTEGORY .... ,..,. :
i~ngle Family r'lDuplex DMulti-Family DRental DCommercia! Dlndustrial
FUEL ~ nElectri¢ DSolid SYSTEM I"lNew R~lace
r'lOil F1Solar I-1Other
~orced Air DRadiant DSteam i"IA/C ElVent DElectric nHot Water r-lSuppl.
IS CItlMNEY BEING LINEIM~o DYes - LINER SIZE ~/~-----~ MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CIIIMNEY TYPE DChimney A ~ey B ~Vent
HEAT LOSS DAs Approved ElExisting F1Not_~pplicable
BTU RATE I-lAs Per Plan nVariable EtOther Value
DESCRIPTION OF ALL WORK BEING DONE
EiCon. Burner
DOther
V~ (In~ihoing labor and all materials including light fix
ELECTRICALcoNT~CTOR ,/~--~ ~,,~.~ or.,~,,t/~ . ~__~lr~r~~ ~. ?~'/1/c~t~ :o~/~',
[2 For applicable projects, an Electric Installation Verification form, signed by ~he Electfidal Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.