HomeMy WebLinkAbout0124358-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 443 W 1 OTH AVE
CITY OF OSHKOSH
No
124358
HVAC PERMIT -APPLICATION AND RECORD
Owner CHRIS R/JANET F HOLZER
Create Date 01/08/2007
Contractor ANDERSON HV AC LLC
Fuel U Gas UOil
System D New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type o Chimney A o Chimney B
Heat Loss o As Approved o Existing
BTU Rate o As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
D Replace
U Steam
U Suppl.
C) Direct Vent
U Solar U Solid
D Other
U AlC U Vent
U Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFR/ Replace furnace, AlC and ductwork due to tire damage.
of Work
Fees: Valuation
$6,300.00 Plan Approval
~
$0.00
Permit Fee Paid
$104.50
Issued By:
Date 04/23/2007
D Permit Voided I
Parcel Id # 0906350000
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 t secure any neces~ry arryvals before starting such activity.
Signature U-.>L- Date '-I ~J..J ~(j/
AgenUOwner
Address
3454 JACKSON ST STE C
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 (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.
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.
· 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 pennit(s) will result in fees being doub~ed or $100.00 plus the
normal permit fee, which ever is greater.
OR
lfy'ou are a contractor Darticipatin!! in the Permit fee Account System and have adequate funds. check here
if yOU want this Drocessed through your account n .
DATE
y-J.3ror;
JOBADDRESS '19; w JOIL 4-ve:
. OWNER . W~
'CONTRACTOR-f\-Y1 (.~cr~", l-\" 'Or c
CHECK It!' ALL APPLICABLE
USl}..CATEGORY
rnsingle Family DDuplex DMulti-Family
DRental
DCommercial
OIndustrial .
FUEL
OOas
o Oil
DElectric DSolid
DSolar
DSteam ~
SYSTEM
DNew
DOther
~lace
~ed Air
DRadiant
DVent
DElectric
DHot Water [JSuppL DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chiinneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE DChimney A DChimney B ~t Vent
HEAT LOSS DAs Approved DExisting DNot Applicable
BTU RATE DAs Per Plan o Variable DOther Value
DESCRIPTION OF ALL WORK BEING DONE .{:\.. ~ ~ r \1 O'\{"vl C.
J\AriV lAte.. o.'^~ cLiAc>rwo(\.C
DOther
..(\, (Z ~
J (aplc,c'-t'
{
VALUE
.$ Co 3()D --
ELECTRICAL CONTRACTOR
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 Pennit is required.
9/02