HomeMy WebLinkAbout0124510-HVAC (furnace & A/C)
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OSHKOSH
ON THE WATER
Job Address 2441 MINERVA ST
CITY OF OSHKOSH
No
124510
HV AC PERMIT - APPLlCA TI0NAND RECORD
Owner BRIAN D KLUZlKRISTIN SCHULTZ
Create Date 04/30/2007
Contractor ANDRESEN SHEET METAL
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric. U Hot Water
Chimney Type D Chimney A o Chimney B
Heat Loss D As Approved . Existing
BTU Rate () As Per Plan () Variable
Category 502 - Residential-Both
U Electric
[?] Replace
U Steam
'U Suppl;' ..
. Direct Vent
Plan
U Solar U Solid
D Other
~ AlC U Vent
U Con: Burner
() Not Applicable
o Not Applicable
. Other
Value
Value
Use/Nature SFR / Replace furnace & AlC. EIV provided by Slim's Electric.
of Work
Fees: Valuation
$5,250.00
~
Plan Approval
$0.00
Permit Fee Paid
$89.50
Issued By:
Date 04/30/2007
D Permit Voided I
Parcelld # 1229400000
In the performance of this work, I agree to perform all work pursuant to rules goveming 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
AgenUOwner
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.
fi1)
rt'.~
City ofOsbkosb
Division oflnspection Services
P.O. Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
.
rm:l<Q(8
HV AC PERMIT APPLICATION i \ . ," ..
AU information after bOld categories must be provided.. .
Incomplete applications will not be processed.
. Applioation(s) and fee(s) can be brouaht to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
OshkOsh WI 54903-1128. Commencing work withoutpermit(s) witt result i" fees bei1l8 doubled or $100.00 plus the
normal pennit fee, which ~ is greater.' . ";:.'.,' "1'"
. . OR . . ",::" ,,',".
~~::::o: ff,:~~:~:'~:~j.!::r~~.. ~:;,~r:'f:f. A.cou,. Sv..... .&od ~ilYB.;II:~t~ ,uisdiH'6ed l."
. , . DATE. _ ,J-tJ; '-:() 7
~f1 . ~. ' {
." .;;;)r "I v&
ot/26 'HJ fvl!-Y fit
CHECK iii ALL APPLICABLE
~~~Y [JDuplex' CMulti-Family CRental
, t
t t
[JCommercial
. '0'.
[JIndustrial
FUEL ~
COil
omectric OSolid
OSolar .
SYSTEM
lJNew
OOther
~ce
~ Air' lJRadiant' '"OStc8rn '~ eVent. OBlectric DHot W.ter DSuppl. 1JCon. Burner
IS CHIMNEY BEING ~ DNo ~- LINER SIZH .3 ~ & MANUFACTURBaAlt21"'JI C .tJ,'t0
Note: AU chimlieya shall be sized per the. BW's beina vented. (
CHIMNEY TYPE .ClChimney A. . DChi~y. B ~t Vent COther
BEAT LOSS CAs Approved ,Qt!iisting [J~Qt.Applicab1e / '_?:, '7 d) .-1 /:l L /7.
BTU RATE ' [JAs Per Plan DVariab1e .00her Value (p() fI;J.(.) I V (f: r ~N I~ Stf,
DESCRIPTIONOFALLWORKBEINGDONE !;/?.AJO:-CEr f.1c ~/.)!J~L-
,,:~;.~. I
VALUE (lnduding labor and an materl~dudlng Uaht~tures), $ . :1:2-5lJ ,0 d
. f7 ~
ELECl1UCAL CONTRAcroR ,J '11 M~, -' ._"- . ....
.0 For applicable projects, an Blectrio Installation Veri~ f~ sipQCI ,by tho Blectrioat~traqtor, must be
attached. If not attached ~ not applicable, a separate Blectrical Pem\it,is required. '
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Electric IDltallaU.. Verlfteatloa
t (We) SLIM'S ELECTRIC INC.
, (BJootricaJ OoDtillCtOr NIIIIe)
2608 Oakwoo~ ~ircle , Oshkosh WI ';', 54904:',;',;;
JAckhII) (City)" (State) , (ZIp Code)
have bOCIl COIltrIOk4 to pedonD eleCtric....... WOJt tOr An~r"en She~t, lVIetal,
. ' ~ "(N8eofptrtyoOldnotecUo)
at tile toJlowJaa ~ i2 <1/fj; /'1IIVij'C4IrV
(.Ack.bII W'IIcn WOIk wiD be pedbrmed)
TIle DItUIe ottbe wOlk..... of: (Check One GI' n.cdbe the Natuae ofWca>
~ 1t.ecoaInocdoD OI'DIIW oimJlt for"""'" H..,....vor NC ~.
_ .RocoDnectioD arnew Gircuit for lIP..... s.ic Wider HelterWpo'Ml'vate4
w.-hOeW. ' 'tt
_ Roc'OrmectioIl of.. SeMoe ...... CabIo. Meter Box,....... to........
_li~ ....-.to ",/1Oftlt ........08. NOte: 'New s..ice
:sau.oe CIb1e8 wID .... ........peIIDit.
_ .Reoonnoctioa arllft'......~ofotlaer "."-Iywlrod
appH_J...... . ' ",
_ New..... llIdIdODot NC to .",."",."...,. _<--or"
bM1ivhJaa1---..__.~""), .................'
......~ " '
~ ~\... .
J t I 1-
rr
TbovaluooCtlai.worki.S 125.00
I
I hereby verily thiI wort WiJlIMt P<<formecI by. ...,.,.01... 0ClImI*lY'" fiIrIber M'ity
tbenaOJlleDdoJ) I ~ will be"'m~witIl"""""" BIeoIdc oocIe
~. ' "
(Sipature. ofComplay omoer)
,J~lvid A.. YounRWI~b
(PriIlt N.- otOt1lcer)
i:~1- .
(Date)
,.
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