HomeMy WebLinkAbout0100646-HVAC (furnace)OSHKOSH
ON THE WATER
,Job Address 1212 CARR PL
Contractor ANDRESEN SHEET METAL
Fuel ~J Gas ~
System ~J New
~ Forced Air 1
~J Electric I
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner LUCILLE CORNELL ETAL
Category 500- Residential-Heating & Ventilating
Electric
Replace
Steam
Suppl.
Solar
A/C
Con. Burner
Chimney B O Direct Vent ~ Not Applicable
Existing ~ Not Applicable
Variable ~ Other
Value
Value
No
Create Date
Plan
L~ Solid
100646
04/04/2003
Other
Vent J
60m btu
Use/Nature SFR/Furnace and ductwork upgrade.
of Work
Fees: Valuation
Issued By:
$3,500.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$57.50
Date 04/04/2003
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
ECEIVED
APR 0 4 200,.
DEPARTMENT OF
C0 fv U ]TY DEVELOPMENT
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
OZHKO/H
ON THE W^TER
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,doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are'~ contractor participating in th~ Permit fee Actount System an-~t have' adeqUate.funds; 'ch!eck here
if you want this processed through your account
JOB ADDRESS / ~ / ~
C~W~CK [] ALL A~PLICABLE
US~ATEGORY
E~ngl¢ Faily F1Dtiplcx F1Multi;Family F1Rcntat FlCommcr¢ial - Flhdustrial
FUEL ~Gas EIElectri¢ EiSdlid " SYSTEM []New E~l~lace
[]Oil []Solar FIOther
~orced Air E1Radiant []Steam 'DA/C •Vent •Electric
IS CHIMNEY BEING LINED F1No EJYes - LINER SIZE
Note: All Chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE []Chimney A ?~'.'mney B ~trect Vent
}IEAT LOSS []As Approved ~Existing FINo~ Applicable
BTU RATE []As Per Plan []Variable .~Other Value
DESCRIPTION OF ALL WORK BEING DONE~ /~f~/~6z~E
•Hot Water: DSuppl. []Con. Bumer
r'lOther
V ~AI~ ~ (Including labor and ali,materials including light fixtures) $ .~,~) ' oo
· ,: ,~, ,>,, ~ , !. '~ ~ ~.,:
ELECT~CAL CONT~CTOR
D For applicable ProjeCts, an EleCffic hs~llatiOn Vehfication fora, si~ed by the Elecffical Con,actor, must be
attached. If not a~ched or not applicable, a sep~ate Elec~c~ P~it is required.