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HomeMy WebLinkAbout0099612-HVACOSHKOSH ON THE WATER ,Job Address 1621 W 6TH AVE Contractor ANDRESEN SHEET METAL Fuel [~ Gas ~ System ~ New ~ Forced Air 1 I~ Electric I Chimney Type I~ ChimneyA Heat Loss I~ As Approved BTU Rate I~ As Per Plan CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Oil Radiant ~J Hot Water Owner JOSEPH N BAUER ETAL Category 502- Residential-Both ~J Electric ~J Replace ~ Steam L~ suppl. Chimney B O Direct Vent Existing ~ Not Applicable Variable ~ Other No 99612 Create Date 12/05/2002 Plan Solar J L~ Solid Other J ~J A/C I L~ vent ~J Con. Burner 1 Not Applicable I I Value 0 I Value 105m btu & 3.5 ton a/c Use/Nature of Work Install furnace and a/c upgrade. Add 3 heat runs to 12' X 19' family room addition. *EIV form from Seckar Electric. Fees: Valuation Issued By: $5,000.00 Plan Approval $0.00 Permit Fee Paid Permit Voided $80.00 Date 01/29/2003 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 Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 ~'ECE Phone (920) 236-5050 ~ E) KO/,H ON THE WATER HVAC PERMIT APPLICATION AI~ in~o~fio~ a~c~ bold c~t~go~cs must be pmvfd~. ~o~ ~..u~.o~ dn.o~ ~.~o~PAR~MENT 0F ~~ ~E~ELOP~ENT · A~licadon(s) an~ fcc(s) can b~ brought to Ci~ ~H, ~oom 20~ Os~osA W~ 54903-] ]2~. Commcnd~g work ~i~out pc~t(~) ff you wan{ t~.??~qef~.~hr~gh your_aacoant ~ CHECK [~IALL APPLICABLE., U~EGORY ElgingleFamil~ ' FUEL [~as FlOil EIDUplek ..... ElMiilfi-FamilY ..... [3Rental ....... [3c6mm'ercial - Ellndusfrial- FIElectric r'lSolid '-sYsTEM.. [2]New cityplace F1Solar F1Other Air E]Radiant [3Steam l~ F1Vent [3Electric IS CHIMNEY BEING LINED FINo E~es- LINER SIZE J * Note: All chimcys shall be sized per the BTU's being vented. CHIMNEY TYPE [3Chimney A ElCh.i_~. ey B FIEAT LOSS [IAs Approved EtE-xisting . BTU RATE FIAs Per Plan I-IVariable [3Hot Water ElSuppl. [3Con. Burner 4~D~ V~t DOth~ ~Applicable /A~ ~ fi~ 7~ 7 ~~ ~0~ Value ~ ~ ~ ~ VALUE (Including labor and all materials including light fixtures) $ ~f~)' ~ o [3 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. FR[~M : SECKAR ELECTRIC FaX NO. : 9202315950 'JUt. 12 2002 09:54PM P1 Electric Installation Verification ~t ~ ~x~ ~ to sidin~ / ~ffit ~lation. Note: New S~i~e K~~ ~ n~ C~c~l for ~e r~lzcem~t of other prosily wi~ Other