HomeMy WebLinkAbout0124305-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 914 GRAND ST
Contractor ANDERSON HVAC LLC
CITY OF OSHKOSH
No
124305
HV AC PERMIT - APPLICATION AND RECORD
Owner JOLENE K GEARNHARDT
Create Date 04/19/2007
Category 500 - Residential-Heating & Ventilating
Plan
System
~ Gas
D New
~ Forced Air
U Electric
Chimney Type 0 Chimney A
UOil
U Electric
~ Replace
U Steam
U Suppl.
. Direct Vent
L I Solar U Solid
D Other
U AlC U Vent
U Con. Burner
() Not Applicable
Fuel
Heat Loss
KJ As Approved
K) As Per Plan
U Radiant
U Hot Water
() Chimney B
() Existing
() Variable
BTU Rate
. Not Applicable
. Other
Value
Value
UsefNature :iFR / REMOVE AND REPLACE FURNACE, ZIMMER TO DO THE ELECTRIC
of Work
Fees: Valuation $1,000.00
Issued By: 0YYl1.4J
Plan Approval
$0.00
Permit Fee Paid
$25.00
Date 04/19/2007
D Permit Voided I
Parcelld # 1003830000
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 ap ication wi in an easement, the City ngly urges the permit applicant to contact the easement
holder(s) and to secure any ecess pprova bet r starti g su activity.
Address
3454 JACKSO
Date
Signature
OSHKOSH
WI 54901 - 8143 Telephone Number 920-410-8858
---
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 Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OJHKOfH
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~OBADDRESSJ1 lLi. ~\~~-l ~, ,
. O~R ~D\e rJ ( Qo.. re-O-.~~ \,..., ~"r l' +- I
'CO~c;oR__j~'r\tt.';'{'~DY--- \-\ \l A- t
CHECK Ii1 ALL APPLICABLE
~S~ATEGORY
[!SIngle Family ODuplex OMulti-Family
ORental
OCommercial
OIndustrial "
FUEL
~~
DOil
DElectric DSolid
DSolar
SYSTEM
DNew
o Other
DReplace
~Air DRadiant DSteam DAlC DVent o Electric
IS CHIMNEY BEING LINED ~;Yes - LINER SIZE
Note: All chinmeys shall be sized per the BTU's being vented.
DRot Water DSuppl. DCon. Burner
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
DChimney B
DExisting
DVariable
~~ct Vent OOther
DNot Applicable
o Other Value
DESCRIPTION OF ALL WORK BEING DONE
!ZeIYJOVC- a.... d
fe 17/ q e=<i.
,
,-~ r rJc. c ('
1 t900 t '?~
.$
VALUE
ELECTIUCALCONTRACTOR
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicab~e, a separate Electrical Pemrit is required.
9/02