HomeMy WebLinkAbout0125878-HVAC (furnace; a/c)
G
OSHKOSH
ON THE WATER
Job Address 1065 W 9TH AVE
CITY OF OSHKOSH
No
125878
HV AC PERMIT - APPLICATION AND RECORQ
Owner DAVID A PANSKE
Create Date 07/19/2007
Fuel
UOil
I
~
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
Plan
Contractor ANDRESEN SHEET METAL
U Solar
l.!:J NC
J lliolid __~
~er ~
ITVent I
Heat Loss
~as
o New
l.!:J Forced Air
U Electric
D Chimney A
ITAs Approved
o As Per Plan
System
Chimney Type
. Direct Vent
~
1 U Con. Burner J
() Not Applicable
~~
BTU Rate
U Radiant
U Hot Water
C}Chimney B
. Existing
() Variable
() Not Applicable
. Other
Value
Value
Use/Nature SFR /INSTALL 60.000 BTU FURNCAE UPGRADE AND 2 TON NC ADD ON, EIV SIGNED BY SLIM'S ELECTRIC
of Work
I
J
Fees: Valuation $5,000.00
Issued By: ~b
Plan Approval
$0.00
Permit Fee Paid
$85.00
Date 07/19/2007
o Permit Voided I
Parcelld # 1307480000
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.
RECEIVED
v'J
~"
City of Oshkosh
Division oflnspection Services
P.O. Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-S084
JUL 1 9 2007 .
.
~Q(B
DEPARTMENT OF
COMMUNITY DE:VE~OPMENT
INSPECTION SERVICES DIVISION
HVAC PERMIT APPLICATION \ i.'i'"
AU 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 Servioes, PO Box 1128,
OshkOsh WI 54903-1128. Commencing work without))el'll1it(s) will result i~ fees mllg doubled or $100.00 plus the
normal pennit fee, which ~ is greater. . '; :..., . ,1' ,
. . OR . .' .~~:" . .',',\'.
~ ~:: :::"r t~~:~::::~8~~r:~~~u~~":o~r ~:c~:~~tf:fe ACCOU~~ Svtltem ,~"d have. ,ad'equate (und,i",hlteck herE
DATE ?--Jt'-07
=~;~j::M~.
CIlECKliI ALL APPLICABLE
~~~Y DDuplex' OMulti-F8mily
ORental
< t
t t
CCornmeroial
.... .
ClIndustrial
FUEL .edas
COil
DBleotric CSolid
CSolar .
SYSTEM
~
OOther
.ace
'~Air DRadiant' '..CS~ . ~ OVent, CBlectric CHot Water CSupp1. DCon. Burner
IS CDlMNEYBElNG ~ DNo.;w.;;. LINBR SlZB.3 '" &MANUPA~t:.
Note: AU chimneys shall be sized per the, BTU's being vented. -)
CBIMNEYTYPE .DChimneyA", CI~y.B ~tVent ClOther ~ d) ,fLI
=~~S.g~=:" ~=:~~::b1e p.&u %0 9~ /O~J:
,
DESCRIPTION OF ALL WORK BEING DONB <_~7&V~ VfJ~~S Ae- add ~
1
/4
. '...
VALUE (lnduding labor and aD ma~dudlnaitpt'JI~tures) sS~.' 00
ELECI'RICALCONTRACTOR J>>hs , _ ,"f.~ , .....
,0 For &pplicable proj~ an Blectrio InstaDation Verl~ f~ siped .by the Bleotrioal'Gootrao,tor, must be .
attached. If not attached ~ not applicable, a separate Electrical Pertl\it.is ft>quired. '
I.. . .. ..
RECEIVED
JUL 1 9 Z007
'. DEPARTMENT OF
, COMMUNITY DEVELOPMENT
, INSPECTION:SERVICES DIVISION
<{.~
,
\ ~.' , I,
\ "
I
0&
~...~.
~.,.,..........
:.n.a..It~
10....
~.. .......JO
0IIet .......
.. .......
Electric IDltalla.. VerlflcatloD "
I (We). SLIM'S EhECTRIC INC.
(BJeotricII CaatrIotor HIlDe) ., .,
~ep~ Oakwoo~ gircle ,Qshkosh '(\II . TT ';", 54904;',:;,
(AdchD) (CIty) .(8tate) , (ZIp Code) '.
have booa ~ to perf.. eIICIric......... WOIk 1br An{1f1un Sheet. ~etal.
. "(NMDeof,..,~to)
. the fbllowina.....:
/oto~tJ '.;9~
r (Aden....... WOIk will be""""'"
TIle DItuIO of the wodt...... of. (ChIck ODe (II' >>-dbe the N.... ofWcft)
25... 'RecclGMclioIaorDIW oirolIit tor,.,.... H-......,. NC Coariaw.
_ ~ ...circuit tbrnplloemeDt BIeoIric W..HeIt8'or.....veted
.,..JlOaW. 't tt
_ RecoDDeotion of tile Service....... CIbIo. M_ Box,......... to.......
and,.~....._to__/eotIlt~ M..New....
&111_ CIble8 will...... ....... JMIIDIt.
_ RecoDDeotion or DeW cdIcait... ............. of.... I*.,........1y Wed
. .......,...... . " "
_ ~ obwIt.. ibOlCJcIIdoIlOf AJC 10."""'" tIwtIIIIII6...~ or..
"vk1aa1~..__.~),""'''''''''' .
.~outletI\. . . ' , .
IU-a.- \ ' , '., .
~. ....
,J I T r
r Jl
flU
Tbo vabaoofthia work i. s 125.00
I
J hereby verify thiI WOIk wiD_ per"'" ~. empIo,eoofdait~.. ftadIer WI'it)r
the.........'..I.. will........,...with........ _1Ieotric..
requircm..... '. ' ,
(Sipamre ofo.D,.y 0BI0er)
",t!@\fid A.' Younsmlr1h
(PriItN.-of~)
(Date)"
-
,
f ...__._ . ....__... -_............ ..... ..
.... -. .~. --.,.. #_.
, .