HomeMy WebLinkAbout0123187-HVAC (heat run)
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OSHKOSH
ON THE WATER
Job Address 101 LAKE POINTE DR
CITY OF OSHKOSH
No
123187
HVAC PERMIT -APPLICATION AND RECORD
Owner 101 LAKE POINTE DR LLC
Create Date 01/16/2007
Contractor ANDRESEN SHEET METAL
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type K:) Chimney A o Chimney B
Heat Loss K:) As Approved . Existing
BTU Rate I. As Per Plan () Variable
Category 510 - Ind. & Comm-Heating & Ventilating Plan
U Electric
D Replace
U Steam
U Suppl.
. Direct Vent
U Solar U Solid
~ Other
U NC U Vent
U Con. Burner
C) Not Applicable
() Not Applicable
o Other
Value
Value
Use/Nature COMM/ Add heat run for air exchange.
of Work
Fees: Valuation
$200.00
(2/7?1,C)
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
Date 01/16/2007
D Permit Voided I
Parcelld # 0614400000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
2913 WITZEL AVE
OSHKOSH
WI 54904 - 6539 Telephone Number (920) 233-0323
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
, Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosb
Division oflnspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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HVAC PERMIT APPLICATION \ I......
All information after bOld categories must be provided.. .
Incomplete applications will not 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 54903-1128. Commencing work withoutpennit{s) will result i~ fees :beillg doubled or $100.00 plus the
normal permit fee, which ev~ is greater.' '. . .
I.. ,1,', '.,' .
, OR . ' "'~;:,'" .,
~;:: ::: t~~:~::::=s~~r:~~~u~~":o~,. ~:c~::~itfe ~C~()~~~~vste", ,~nd haV,e. .adequate fu;,da1-'.hlteck here
, , " DATE // ~ /c!-a)
JOBADDRESS /O/~~1C6 t?M~~/~ ,.k.. I
=~~~-:~~~d. }1~
CHECK &I ALL APPLICABLE
USE~QOR.Y
ClS"mgle Family [JDuplex CMulti-Family
CRental
~~~~ia1
< ,
OIndustrial
FUEL ~~
DOil OSolar
~ Air' ORadiant ""CSteem . 'dAte []V_t, CBlectric
,
. '\',
IS CHIMNEY BEING LINED ONo CY:'es ." - LlNBR SIZs' N A-
Noto: AU chimneys shall be sized per the, Brots beiDa vented.
CBlectric CSolid
. SYSTEM
~
Dreplaoc
CHot Water OSuppl. aeon. Burner
&MANUFA~
CHIMNEY TYPE
BEAT LOSS
BTU RATE
.DChimney A, .
CAs~ved
,a1UPer Plan
~B
DVariable
~tVent COther
ONgt Applicable
COther Value
j
VALUE (Including labor and aD matera....clu. d.~....t8x. .tuna) S . d<<J..~J . . \\ \\t V\(
~'.... '........ ~l 10
ELEcnuCALCONTRACTOll--o:d/~ ' . ..c~~. . ..... . \}
,0 For applicable projects, an Blectric Installation Veri~on f~ sianQd 'by thO Bleotrica1'GIGU'aqtor, must be
attached. If not attached ~ not applicable, a separate mectrical Pem\it.1S ftJquired.