HomeMy WebLinkAbout0124511-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1050 W 19TH AVE
CITY OF OSHKOSH
No
124511
HVAC PERMIT.. APPLICATION AND RECORD
Owner RONALD KlNANCY L HACKBARTH
Create Date 04/30/2007
Contractor ANDRESEN SHEET METAL
Fuel l!'J Gas UOil
System D New
l!'J Forced Air U Radiant
U Electric U Hot Water.
Chimney Type KJ Chimney A () Chimney B
Heat Loss KJ As Approved . Existing
BTU Rate K:) As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
~ Replace
U Steam
U Suppl..
. Direct Vent
U Solar U Solid
D Other
U AlC U Vent
U Con. Burner
C) Not Applicable
() Not Applicable
. Other
Value
Value
Use/Nature SFR / Replace furnace and correct sized B-vent chimney. EIV provided by Slim's Electric.
of Work
$2,600.00 Plan Approval
Wrrvo
$0.00
Permit Fee Paid
$49.00
Fees: Valuation
Issued By:
Date 04/30/2007
D Permit Voided I
Parcelld # 1311570000
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.
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t
City of Oshkosb
Division of Inspection Services
P.O. Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
.................................:...............'.t
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HVAC PERMIT APPLICATION" .,.,."
All information after bOld categories must be provided.. .
Jncomplctc applications win not be processed.
. Applioation(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 withoutpermit(s) will result i,n fees beilll doubled or '100.00 plus the
normal permit fee, which e. is greater.' '. . .
, OR ,'<':~.'" '~:';~'," ,
~;:: ::.: ti.1:~~:::~.~'1:::j,":f.":..':r t::c~:~~tK" A.cc...t S.......d .,.. ;;ml. (..I/.it.lf~k ..,.
CHECK iii ALL APPLICABLE
USE.J;At'EGORY
astnglc Pamily CDuplex. DMulti-Family DRental
t t
t t
CCoDlDlercial
, ,
OIndustrial
FUEL ~ OE1ectric DSolid
OOiI DSolar '
SYSTEM
CNew
OOther
~ace
~ Air' ORadiant' ',.OSteam "CAfe CVent, OBlectric
" \"'.
IS CHIMNEY BEING LINED ONo cY;es ,.' - LINER SIZEN.4-
Note: AU chimneys shall be sized per the,Bro's beiDa Vebted.
OHot Water ClSuppl. ClCon. Burner
&MANUFA~
CIDMNEY TYPE CChimney A, , OChbmley. B BlJifeCt Vent COtbel'
BEAT LOSS OAsApproved ~stins []N~Applicable / ~/) ~_/I ~/...?t:.n
BTU RATE . , DAs Per Plan eVariable e20iher Value &16/tf..;,:) (/ /ATU, 70 '/ c) j
D...ES. ~ONOFALLWOllKBEtNGDONI. cio~~~ ~~Ii-~~r'
fi~!:J = == > =
VALUE (lnduding labor and aD materl........dudJ~u..t'8xtureI) S' . .c{2te t?O "t) ()
, '
ELEC1'RICALCONTRACTOR ~/jcs_ , ,.,.R.~
,0 For applicable projects, an Blectric InstaDation Verl~on r~ 8ian~ 'b)' thO Blootrioal'GGotraqtor, must be
attached. If not attachec1 or not applicable, a separate meotrical ~UI ft>qund. '
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Electrie l8ItaDatl.. VerUleatloa
t (Wo) SLIM'S ELECTRICIN~.
, (BIootricaJ ~N...)
2608 Oa~ Qircle , Oshkosh ~I" ~904;'<;
(Addrea) (aty). (State) . (ZIp Code)
have boeD coatDOted to,.roan oleCtric .......... WOIk 1br AndrlHn She~t, Metal.
. .' '(N8e ofptltyCODtrlOted to)
atbefoUowlDaIlCldntl8: ~o~ W'Y97fl J74
(AddNIa willie work will 1Jo pedbnDfd)
The DItUIe oftbe WOIk CODIiIll of: (Cbect Oae.. n.adbe the N.... ofWOIt)
.2S... 1t.eooMectioIlorDIW oiJnitfor,.........,...". AIC ~.
_ R.ocoDnectioD Gl'DlIWcircait:lbr""'" BIecIric Water Heater <<power"'"
WIllI' hOaW. < < tt
_ IteeoJlMJOtioll ofdle Service..... CeWo. Meter Box,........ tD.......
and JlPtiDa ....-.to ....,1OtIlt iDIltIIIItioa. Not<< 'New Semoo
BaUIDOe c.- wUl........ ......penDIt.
_ .ReooralocIIoD or....... o.b:cuIllor ....npIIDIIDeIat or odaer 1*1~"'*itJy wkod
...,..,..,...... . . , '.
_ ~ obwb.. 1JIOIIdCIIdoaOf AIC 10.""""'" --"'-(boIIID or..
iDdivWual ~iIl.__.~_), ......................
........ " .
0tI:aIr '\", ", '
w
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Tho value of8ail WOIk il S 125.00 .
,
J hereby verify thiI work WiD.. pedbmaecI by. ....,...0''' ~ IDClIurtber writy
the I'IDOIID8OdoD '...... will be__. -.- with .......... BIeoIric oocIe
.......... . '.
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(SipatuN ofComplay Oftloer)
...p@vid A.' YounSlWirtbj
(PriIlN.- ofot1loer) '.....
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