HomeMy WebLinkAbout0100744-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 1070 W 10TH AVE
Contractor ANDRESEN SHEET METAL
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner CORY A HANNEMAN
Category 501 - Residential-Air Conditioning
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
100744
04/10/2003
Other J
Vent J
2.5 T
Use/Nature SFR/Install new A/C. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$1,600.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$29.00
Date 04/10/2003
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
AH ~o~fion after bold ca~gofies mUst be pr°vide~O~~
Inco~lete applications ~11 not ~ ~ocessed. "~t~/~
TH[ 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, doubled or $100.00 plus the
normal permit fee, which ever is greater. -~ ....... .~ .
OR
If you are 'a contractor parti, cipating in the permit fee ,~c. boun.t System and have ad~itate funds,'"'c~eck her.e
if Fou, want this,processed,through Four account [] "' ~ ' ' .'
CI~ECK [] ALL APPLICABLE
USE..~.J~GORY
~le Family FIDuplex FIMulti-Family ElRentaI F1Commercial Fllndustriai
FUEL ~aC [3Electric F'lSolid SYSTEM ~ [3Replace
[3Oil [3Solar [3Other
TYPE
[3Forced Air [3Radiant [3Steam ,~i~A/C [3Vent F1Electric [3Hot Water [3Suppl.
Is CIHtVINEY BEING LINED liNo liVes - LINER SIZE .~.~. & MANUFACTURER
Note: All ehinmeys shall be sized per the BTU's being vented.
CIHMNEY TYPE ~C~mney A ~~yB
i~iEAT LOSS []As Approved
BTU RATE EIAs Per Plan [3Variable
F1Con. Burner
EIDirect Vent [3Other
ElOPer Value
DESCRIPTION OF ALL WORK BEING DONE
....
VALUE (Including labor and all materials including light fixtures)
ELECTRICAL coNTRACTOR
[] For applicable projects, an EleCtric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
~' FR-DM : SECKAR ELECTRIC P1
FAX NO. : 9202313950 Jut. 12 2002 09'.54PM
Electrk Installation Verification
~e ofp~y ~on~tea to)
--
/ ~:~on or n~ ~ireuit for ~~t ~ P~t ~ or ~C C~,
~~On or n~ ~r~t for r~l~em~
~ ~n~ fix~ ~ to sid{ng / ~ in~laion. Not~: N~ Sen'i~e
~c~ C~i~s will ~ a
N~ ~t ~Or ~e ad~ri~ of~C to ~ i~ividuat ~tti~g ~z ~ or the
Oth~