HomeMy WebLinkAbout0099598 HOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
1029 OTTER AVE
ANDRESEN SHEET METAL
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner JOSEPH P FLANERY
Category 500 - Residential-Heating & Ventilating
~ Gas I
[] New
Forced Air J
Electric J
o, I [] Electric
[] Replace
Radiant I ~ Steam
Hot Water I L~ Suppl.
Chimney Type ~ Chimney A ~ Chimney B
Heat Loss ~ As Approved II Existing
BTU Rate ~ As Per Plan ~.~ Variable
[] Solar
~_] NC
U Con. Burner
Direct Vent ~ Not Applicable I
~.~ Not Applicable I Value
II Other I Value
No 99598
Create Date 01/27/2003
Plan
~ Solid
[] Other
Vent I
60m btu
Use/Nature :{ENTAL/Fumace upgrade 1st floor. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$1,800.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided J
$32.00
Date 01/27/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 2913 WITZEL AVE OSHKOSH WI 54904 - 6539 Telephone NUmber
(920) 233-0323
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION'
All information after bold categories must be provided.
Incomplete applications will not be processed.
O,/HKO,/H
ON THE WATER
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 permit(s) will result in fees being qtoubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee/lccount System and h"ave 'adequate_funds., check here
~f you want this processed through your account []
JOB ADDRESS
C~CK ~ ALL APPLICABLE
USE CA,GORY
~Single Fmily ~Duplex ~Multi-F~ly . ~ntal .
~L ~s ~Elec~c ~S°lid SYSTEM
~Oil ~Sol~
F1Commercial Ellndustri.al
ONew .~eplace
EiOther
TYPE
EiForced Air ElRadiant F1Steam EIA/C FIVent FIElectric
F1Hot Water~ FISuppl. EICon. Burner
IS CHIMNEY BEING LINED EINo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE I-IChimney A ~_~l~.'mney B
HEAT LOSS I-lAs Approved ~Existing
BTU RATE I-lAs Per Plan EiVariable
DESCRIPTION OF ALL WORK BEING DONE
& MANUFACTURER
~irect Vent
EI .Not Applicable
El'Other Value
DOther
v~UE (I,c!~ding la.b~r andali materia~j~.lu,ding light fixtures) $/~?~/~ .oo
[] For applicable projects, ~ Elec~ic Ins~llation Verification fo~, si~ed by the Elec~cal Con,actor, must be
a~ched. If not a~ched or not applicable, a sep~ate Elecffical P~it is required.
KROM~.' SECKAR ELECTRIC
NO. : 9202513950
Ju I.
12 2002 09: 54PM
}Electric Installation Verification
(N~ ofp~y ~ted
Tt~ mit~ ~3~e work ~g~i~ta of: (Cheek One o~D~be ~ Na~e
/ ~~o~ or n~ ~irc~t for ~l~t He~ Pl~t ~ ~C C~.
~~on or n~ ~ult for r~l~m~ ~ W~r Heg~ o~ pow~ v~ted
~~ti~ of ~ 5~ ~ae C~, Memr Box, al~atio~s tu ~pmcl~
~ ~u$ ~x~ ~ to ~i~{~g / ~t ~latioa. Note: N~
~C~ C~les will ~ a s~p~ ~t
,,,~~ou ~ ~ c~c~t for ~e r~lacem~t of o~er p~tly
N~ ~t f~r ~ ad~ti~ of~C to ~ i~i~idua~ ~t~g ~tz ~o~ or ~he
Oth~
(Sigm~r~r~ of Compa=y Officer)
Ghtut Nam= ~ 0~=)
(D~:,)