HomeMy WebLinkAbout0123387-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 857 W 9TH AVE
CITY OF OSHKOSH
No
123387
HVAC PERMIT -APPLICATION AND RECORD
Owner WILLIAM J DREHFAL
Create Date 02101/2007
Contractor CHRISTENSEN HEATING & AlC INC
Fuel l!J Gas UOil
System o New
l!J Forced Air U Radiant
U Electric U Hot Water
Chimney Type KJ Chimney A o Chimney B
Heat Loss K:) As Approved () Existing
BTU Rate KJ As Per Plan o Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
. Not Applicable
U Electric
o Replace
U Steam
U Suppl.
o Direct Vent
. Not Applicable
. Other
Value
Value
Use/Nature DUPLEX (LOWER) / REPLACE FURNACE
of Work
Fees: Valuation $2,100.00
Issued By: 5h1~
Plan Approval
$0.00
Permit Fee Paid
'.;,.;
$41.50
Date 02101/2007
o Permit Voided I.
Parcelld # 1302510000
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
1609 W WISCONSIN AVE
APPLETON
WI 54914 - 0
Telephone Number (920) 731-3002
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building jf 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 Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVED
~
H
FEB 0 11007
DEPARTMENT OF
COMftMJfltTt6~'fi~f)~ICA TION
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 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 oarticioating in the Permit fee Account System and have adequate funds. check here
if yOU want this orocessed throuf!h your account n
DATE /~31-D7
JOB ADDRESS 951 A W, q'il--- ( ) OWe-x)
OWNER 1Dr~'~
CONTRACTOR~nca-.r- tIij 'Y /fie
CHECK ~ ALL APPLICABLE
, DM~lti-F~rriiiy
;, '^:.., :~,,'J ,_ . '.- ; ! '_ , ; .,.
C'DIndustrial'"
~~~~r~?:,
DElectric DSolid_
DSol'a.r' ,
(~~' '.
FUEL ~Gas
.':L' !.,JDOil
SYSTEMu
DNew
o Other
~ePlace
TYPE
gForced Air DRadiant DSteam DAlC DVent DElectric DHot Water DSuppL DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
DDirect Vent o Other
DNot Applicable
DOther Value
DChimney B
DExisting
DVariable
DESCRIPTION OF ALL WORK BEING DONE
.~~~c
0", (:'l,~::-r"
VALUE (Including labor and materials) $ d / t70 (/c'){)
ELECTRICAL CONTRACTOR
o For applicable projects, an Electric In~tallll;tion Verificat.ion form, signed by the,ElectricaICoiitra.ctor; must be
athiched.lf not attached or not appli~abl~, ~ '~eparateElectrical ~ermit is required.
" !
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