HomeMy WebLinkAbout0099613-HVAC (furnace)OSHKOSH
ON THE WATER
,Job Address 1530 DELAWARE ST
Contractor ANDRESEN SHEET METAL
Fuel ~J Gas ~
System ~J New
~J Forced Air 1
~J 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
Hot Water
Owner MARIBETH A BJORNE
Category 500- Residential-Heating & Ventilating
Electric
Replace
Steam
Suppl.
Solar
A/C
Con. Burner
Chimney B O Direct Vent ~ Not Applicable
Existing ~ Not Applicable
Variable ~ Other
Value
Value
No
Create Date
Plan
L~ Solid
99613
01/29/2003
Other
Vent J
60m btu
Use/Nature SFR/Furnace upgrade. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$35.00
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
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
QfHKOJH
ON THE WATEE
· 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.
I_f you are contractor participating in thd Permit fee Acdount System and have ade:quate.funds, check here
i_f you want this proces?qd through your account ['] ~ · i '.:' ....
/,_
DATE
cm~CK [] ALL APPLICABLE
EGORY
~ilY ..... IZIDuPlei ......... ElMttlti:Faniily ..... EIRental .... [2Commercial .... Ellndustrial
· '~'~,_,,,o :EleCtric [:]Solid SYSTEM 'f-INeW
F1Oil FISolar F1Other
ir FIRadiant F1Steam F1A/C F1Vent FIElectric
IS CHIMNEY BEING LINED 'F1No ~es - LINER SIZE
Note: All chimeys shall be sized per the BTU's being vented.
CmMNE¥ im' [3Chimney ^
HEAT LOSS I-lAs Approved
BTU RATE F1As Per plan
DESCRIPTION OF ALL WORK BEING DONE
FIHot Water' F1SUppl. FICon. Burner
a MANUFACTURER 1'~-~','~-~//' Coo q
F1Ch_imneY B [3ISi'rrect Vent mOther
l~'~isting F1No.t Applicable ~/~.~ Z~"
FIVariable [3Ot~her Value
V~. (.I?duding labtr: an~.~[!~ateria~/i~ludi.ng light fixtures) *
ELECTmCAL CONTRACTOR
15 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.
PROM
: SECKAR ELECTR I C
3u~ C~? CI~- 08:48~
FAX NO. · 9202515950
~Tul.
12 ~002 09:54PM Pi
Electric Installation Verification
TI~ uat~e of/t~ work etmsizts of: (C~k One otD~be ~ Na~e of W~)
' ~ ~e~on or n~ eireat for ~~I
~~on or n~ ~uit for ;~l~em~ ~l~e W~r ~ea~ o~ pow~ v~ted
~~ti~ of ~ 5~mcc ~o~ C~l~, ~r Box, citations to '~p~cl~
N~ ~t for ~e ad~of~C to ~ i~i~idu~I ~Jl~g ~t ~ or the
i~vi~ system~ ia a ~plex or
c!~c~ o~,
...........