HomeMy WebLinkAbout0123858-HVAC (furnace & A/C)
e
OSHKOSH
ON THE WATER
Job Address 1219 POWERS ST
CITY OF OSHKOSH
No
123858
HVAC PERMIT -APPLICATION AND RECORD
Owner GARY K MATSCHEIC SIMONS
Create Date 03/20/2007
Contractor ANDRESEN SHEET METAL
Fuel L!:J Gas UOil
System o New
l.!'J Forced Air U Radiant I
UEleic:tric U Hot Water I
Chimney Type D Chimney A () Chimney B
Heat Loss KJ As Approved . Existing
BTU Rate D As Per Plan C) Variable
Category 502 - Residential-Both
U Electric
o Replace
U Steam
--. U Suppl.
I
- - - - I-
Plan
U Solar U Solid
D Other
l.!'J AlC U Vent
- U Con. Burner
. Direct Vent
C) Not Applicable
() Not Applicable
. Other
Value
Value
Use/Nature SFR 1 Replace furnace and install new AlC system and 3" B-vent EIV provided by Slim's Electric.
of Work
Fees: Valuation
$5,000.00
~
Plan Approval
$0.00
Permit Fee Paid
$85.00
Issued By:
Date 03/20/2007
D Permit Voided i
Parcel Id # 1508250000
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 (i.e. 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.
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Eleetrle ID.taDatt.. VerlfleatloD
I (We) SLIM'S ELECTRIC INC.
. (BJeCtIicaI Comntctor Name)
2608 Oakwood Circle Oshkosh WI':' 54904:;:
(AdcJre8I) r r (City) .(State) . (ZIp Code) . . ..:
have beoD contracted to perform eleCtric ...... work for Androsen She~'l Metal,
. . '(N.. ofPIItY coD1Dotod to)
/~ / 7 Nt-JffJ5
(Ac1d1e18 wllclro WOIk Will be pedbnDed)
The IIItuJe oftbe WOJt CODIiItl of: (a.ct One or.o.ca"be the Nature orWork)
~ 'R.ecoftnecaioD or now cUcult for",..... H~ PlIlDt -.IIor NC Coociaer.
_ .RecormectioD or new drc.. for np...... EIeotric Water IleIta- or powell' vtDoCt
WIler heater. ' tt
_ .RecormectioD of.. Service smr.e CIb1o, Met.- Box,........ to receptacJoa
aDCl ftahdDl fixturct chao to 1idiDa'lOtflt iutaJIdoa. N.:"New Service
BDu8Dco C8bJe8 will reqaiIe a..... permit.
_ .ReoonnecdoD or Dew oircuit 1br" lip....... ofc6er pelll....lywJnc1
appliances 18xtufeI. . . '.
_ New oiroall tor ibo 8ddidolll of Ale to _1II4lt1I4MI dwtIlIbIg tIIItt (boUle or"
iDdivicJual ~ in a duplex or 0CIIIdM.~,~_), ~ftJqIIbecl......, .
. ...._ oudets. '. '
_ ou..r '.....
at the followiraa adcJmI:
rlf
The value oftbia work is S 125.00
I hereby verify 1his wort will be perbmocl by an empIo""oftbie oompeDy IDd ftuther verify
the reoomaeotioD I u.ua,tioD will be daDein com.pIiIDce with............ IDdIlectric eode
requilaacata. . . .
,D,vid A.'Youn~r1h
(SipaturoofCom.peayOfticor) (PriIlt~of~) (Date)
SAl2
~.., -. .~. -. ~_.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
.,
~QlB
HV AC PERMIT APP'LICA rlON '\ \ i" ..
All information after bOld categories must be provided.. .
Incomplete applications will not be processed.
. Applioation(s) and fee(s) can be brought to City Hall, Room 205 or malled to Inspection Services, PO Box 1128.
OshkOsh WI 54903-1128. Commencing work withoutpermit(s) will result i,:l fees ~g doubled or $100.00 plus the
normal permit fee. which ~ is greater.' . '; :.'" . ". r .
. . OR . . . ~';.'.'" ,',"".
~;:: ::,,: t~~:~::::;s~~r:~~~.,~~II:o':r ~:c~=:jiH~' ~cco.,~~ Svste~ .~lId h<<~~.ad.qll<<te (u;,dk.hheck here
DATES -1f-rJ7 .
{
JOB ADDRESS I ;L12.' Hwtft&{' -, '.
=~?i~~?Mcf M~
CRECK iii ALL APPLICABLE
~~~y DDuplex CMulti-Family CRental
, .
t t
DCommeroial
. ~. .
[JlndustriaJ
FUEL
d
COil
omectric OSolid
CSolar
SYSTEM
~
OOther
~aoe
~Air' []Radiant' '"OSteam ,.~ aVent, OBlectric
"
IS CHIMNEY BEING LINED ~ ~~ . - LINER SIZB-NIt-
Note: All chimneys shaJJ be sized per the. Bro., being vented.
OHot Water CSuppl. aCon. Burner
& MANUFACfURBR #4
CHIMNEY TYPE 'DChimney A. , lJ....~ ._: ry. B -e6frect Vent Dather
BEAT LOSS OAs Approved 'OfiXisting CNQJ.Applicab1e
BTV RATE . DAs Per Plan lJVarlable .Gdfb.er Value btrJ J.Mv /ifrtJ 9~ :z,.f-4N ~
D.....E....~.~ ONOFALLWORK~DONJ:. $Hf:PUW /;y~=;~
h:~ .~,e.'d'~/ /.'k ~~ ..~ . ~
"
" ,
VALUE (Including labor autl all materl....duCUqUpfftxturea) S ~ ' ~o . 3~ 69
ELECTRICALCONTRAC1'Olt ~~~ ,"'_' I J
. 0 For applicable projects, an Electric InstaDation Verl~on f~ sipe.d .by the Blectrica1'Goo1raqtor. must be
attached. If not attached or not applicable, a separate Electrical ~t,i8 requiftlCl. .
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