HomeMy WebLinkAbout0126962-HVAC (furnace)
G
OSHKOSH
ON THE WATER
Job Address 2220 SHERIDAN ST
CITY OF OSHKOSH
No
126962
HVAC PERMIT -APPLICATION AND RECORD
Owner RICHARDITERESA REAMER
Create Date 09/26/2007
Contractor ANDRESEN SHEET METAL
Fuel ~ Gas UOil
System o New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type K:J Chimney A C) Chimney B
Heat Loss KJ As Approved . Existing
BTU Rate D As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent () Not Applicable
() Not Applicable
. Other
UseINature SFR / FURNACE UPGRADE, EIV SIGNED BY SLIM'S ELECTRIC "check #3207
of Work
Value
Value
75,000
Fees: valuati?fm. ~$2,500.00
Issued By;
Plan Approval
$0.00
Permit Fee Paid
$47.50
Date 09/26/2007
o Permit Voided i
Parcelld # 1211810000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting sUch activity.
Signature
Date
AgenUOwner
Address
2913 WITZEL AVE
OSHKOSH
WI 54904 -6539 Telephone Number (920) 233-0323
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
....;i
R
I
City of Oshkosh
Division oflnspection Services
P.O. Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
SEP 2 6 Z007
DEPARTIVlENT OF
COW/lUNITY DEVELOPM~NT
. INSPECfION SERVICES DlVISI?~
...............................'............
....... '.,",
~..'
~
DZB$Ql8
HVAC PERMIT APPLICATION' I"""
All information after bOld categories must be provided.. .
Incomplete applications will 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. Commencingworkwithoutpermit(s) will result i" fees beillg doubled or $l00.00plustIM
normal permit fee, which e~ is greatm'.' ' "; :.', i' ,1 ,
. , OR . . . ,"'.',,,, ,',W.
~;:: :~:t~~:~~:::=;;~r:~~~,,~~":o':r ~:c~::~tl:te ~cco,,~~ Svste~ ,~"d "ave"atl'~(Jflate (u;,d,1","eck ",m
DATE .9': P- y!-":-o7
~ ~
JOB ADDRESS c:?O~cP~, ,
=~~~~;~~.
CHECK iii ALL APPLICABLE
~::?~Y IJDuplex DMulti-Family
DRental
t t. t t
IJCorqmercial
< ,
OIndustrial
FUEL 00;;
OOiI
DEtectric DSolid
CSolar
SYSTEM
CJNew
OOther
~ace
~Air []Radiant' ',.CSteBm . 'dAte CJVent, CBlectrlc CHot Water CJSupp1. oCon. Burner
:~~:=~~porr:o~~~mZB 3 < &MANIlPAcI1JlUlll/~-?,~
CIIIMNEY TYPEIJCbinIley A CC!JlIm1eY B ~..' t Vent COther
BEAT LOSS CAs Approved 'aI&iStinS ON,.Applicab1e ,
BTU RATE . . []As Per Plan []Variable OOther Value 7.s= fhov .Bra 9,!).f'l ~ AfU2
~J:SCIlIn'ION 0Ji' ALL WOJIKBElNG DONE ;;RA/o. C-t:. WU'W6' -
J't.'
~i/
VALUE (lneludiDg labor ad aD materl~dud'Dg Uaht'ftxturea), S. ~~. 00
ELECl1UCALCONTRACTOR. CSI/~r ,E16'of1€.t~ .'
. 0 For applicable projects, an Blectrio InstaDation Verification f~ siped .by thO Blectrlca1G1o~tor, must be
attached. If not attached ~ not aPPlicable, a separate meCtrical ~t'1.8 t"equired. '
cia
~ tl'0iIWID0I\
DtvIIIae.,..........
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10...._
CliltMIIWl .....UJO
0III0t llIOouuose
hx .......
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SEP 2.6 2007
DEPARTfV1ENT OF';.
COMMU~~In' DEVELOPMENr;' '
I NSPf:CTIOf\1 DIV{SIO~. ..
l '.
'.
Electrle Install.tI.. VerlfteatloD
I (We) SLIM'S ELECTRIC INC.
(BJectricaJ CoDtIactor NIIIl'1e)
2608 Oakwood Circle Oshkosh WI 54904>;.;;
(AcJdre8a) (CIty) .(State) . (ZIp Code)
have bOlD coatrected to pedonn eleCtric ........ work for AndresenShe~t Metal.
. '(N.. ofl*tY CODtraotod to)
at the fonowms acIcJMr. cf2o;?-e> ~C~;~
L , (Addretr8 w1MIe weB will be pedbnDed) ·
The DItUIe oftbe WOIk COIIIiatI of: (Check One or.o.cribe the N8lIIIe of Work)
~ RCC08DeCtioD ortMIW circuit forrep.lacclnet HeatiDa PIE adIor AIC Coacieneer.
_ RCC08DeCtioD or DeW circuit for rap..... Electric Weter HtIta' OJ'pow<< vlbted
WI*' bOater. ' t.
_ ~oftheSorYico"'" CIb_ Meter Box, ...atiou to nceptacIea
anclllsldiDa fix.... chao to Iictias IIOftit ~.atinq. NOte:',New Service
Bou8DCe Cables wiD""'" ......paatt.
_ ReooIulocdoD orDfIW circuit... ..np.... ofoa. ,...,....tl)' wirod
appliaces I ftxtlaIeI. . . '.
_ New chult tor 1ho IddidoD of NC 10 .1II4MiltItII dwelIbtB.. (boule ora.
iDdivi'- &VlItMI& in a dupl8 or 0CliDdM>>....), ~ftIqUiIecl..wce .
. ~~- ..'
.........--- Olh.- \ \ '.
1 r r
Tho value oftbia work is S 125.00
I hereby verify this wod: WiD. be perfonnecI by.. empio)'eoofthie ClOI1Il1*l),'" JUrther vaifY
the l'IOOJlIl8DdoD '....... will be doIIC iD compIiIIlCe with DUinutIctmer IDd BIecIric code
roquirc.moutl.' .' .
(Sipature ofCcDp8D, Ofticer)
.O@vid A. Youn$Mi~h
(Print N.. ofOfllcet,-)
7' -~--t?
(Date)
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