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HomeMy WebLinkAbout0153722 - HVAC (furnace) ED CITY OF OSHKOSH No 153722 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 701 CEAPE AVE Owner MARC A KOLLER Create Date 11/27/2012 Contractor ANDRESEN SHEET METAL Category 500-Residential-Heating&Ventilating Plan Inspector John Zarate Fuel •Lij Gas _1 Li oil 1 Li Electric Li Solar H j Solid System H New Replace Ei Other 1 1 El Forced Air II Radiant 1-ilam D A/C Li Vent jj Electric H Hot Water H Suppl. Ef Con. Burner Chimney Type QChimneyA • Chimney B 0 Direct Vent 0 Not Applicable Heat Loss • As Approved • Existing 0 Not Applicable Value BTU Rate 0 As Per Plan 0 Variable • Other Value 75,000 Use/Nature [SFR/REPLACE FURNACE, EIV SIGNED BY SECKAR ELECTRIC *"check#3965 of Work Fees: Valuation $3,100.00 Plan Approval $0.00 Permit Fee Paid $56.50 Issued By: aMtA j Date 11/27/2012 D Permit Voided Parcel Id#0806120000 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 (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. CEO rt� City of Oshkosh Division of Inspection Services P.O.Box 1130 Oshkosh,WI 54903-1130 • • Fax Phone 920)236 50840 . IA i:1b. • • HI/AC PERMIT APO' PO'UCATION • • All 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 Services,PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus th normal permit foe,which ever is greater. • OR If you wept this processed derma t►putacpuit •. // DATE -JOB ADDRESS 2o/' S7z CONTRACTOR G zf C1J r> 6- • CHECK B1 ALL APPLICABLE U��__S5�J'-CArTlf,GORY 13Smgle Family °Duplex DiviultiFamily OResital 0Commarcial Dlndustrial FUEL .12 s °Bleotric C°Solid SYSTEM C°New l ace 0011 °Solar . ©Other • TYP orcod Mr DRadiant r.,QSteam dA/C DVent• DBlectric []Hot Water OSupp1. ©Col.Burner IS CHIMNEY BEING LINED(] EWcs -LINER SIZE /ti/ 8t MVIA.NUFACTURBR- A/f Note:All chimneys shall be sized per the.BTU's being vented. CHIMNEY TYIPE -C]Chimney A•• a - •13 °Direct Vent °Other • HEAT LOSS DAs Approved :+• • 'i ONO Applicable . BTU RATE •DAs Per Plan °Variable atither Value 7 i*e} - DESCRIPTION OF ALL ORK r G ) •NE f VALUE(Including labor and all materlabaadnding itghtflxture$ •y OCV ELECTRICAL CONTRACTOR C - .0 For applicable projects,an Electric Installation Verification form,signed by the BlootrioatGtontragtor,must be attached. If not attached or not applicable,a separate BlecMoat Permit/is requited. r City of Oshkosh 1 0) Division of Inspection Services 215 Church Avenue � PO Box 1130 O/ ���//'� /� Oshkosh WI 54902-1130 ,1 ►-yV,,,(,/ H Office 920-236-5050 • ON THE WATER Fax 920-236-5084 Electric Installation Verification (I)(We) 56-16h'" EZ ec7)e/L Co I Ill C. (Electrical Contractor Name) 5��o Coogi e 60/11/hte eiN NpvNf c-oN,'E c 5 q c, (Address) (City) (State) (Zip Code) have been contracted to perform electric installation work for Alut ese—N SKEET ,i4t'T/i-t- (Name of party contracted to) at the following address: "/ PE .s r . _ (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) )( Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. Reconnection or new circuit for replacement Electric Water Heater. Reconnection of the Service Entrance Cable,Meter Box, alterations to receptacles and lighting fixtures due to siding/soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for other permanently wired appliances/fixtures. Other • • The value of this work is $ I hereby verify this work will be performed by an employee of this company and further verify the reconnection/installation will be done in compliance with manufacturer and Electric code requirements. ji frt.% 44.v 1f u 0G �rP-ct-At ► // 23 ` � (Signature o J Company Officer) (Print Name of Officer) (Date)