HomeMy WebLinkAbout2003-HVAC (furnace-A/C)OSHKOSH
ON THE WATER
.lob Address 1017 PIERCE AVE
Contractor ANDRESEN SHEET METAL
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner MARILYN J COATES REV TRUST
Category 502- Residential-Both
L~ Electric
New ] ~] Replace ]
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
No 104127
Create Date 09/11/2003
Plan
Solar ] ~J Solid
~J Other
A/C ] ~J Vent
Con. Burner ]
Chimney Type I~) Chimney A ~) Chimney B O Direct Vent ~ Not Applicable I
Heat Loss ]~ As Approved O Existing ~ Not Applicable ] Value
BTU Rate ]~ As Per Plan ~) Variable ~ Other ] Value
60m btu & 1 .ET A/C
Use/Nature SFR/Furnace & A/C upgrade. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$3,500.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$57.50
Date 09/11/2003
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.
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 APPUICATION
All information atter bold categories must be provided. <~0~.
Incomplete applications will not be processed. 'd~ ~4//x
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
OshkoshWI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
noml permit fee, which ever is greater.
I£ vou are a contractor participating in the Permit £ee .4c~count S~stem and have ad~Ouate funds}~eheck here
if you want this processed through Four account [-] · .
CHECK [] ALL APPLICABLE
USE~GORY
~ngle Family F1Duplex FIMulti-Family F1Rental F1Commercial vIIndustrial
FUEL [~as ElElectric F1Solid SYSTEM rqNew R~lace
F1Oil ElSolar F1Other
~or~d Air ElRadiant E]Steam ~C ElVent [:]Electric
cma mY EINC LINED r No - Ln, mR S ZE
Note: All chimneys shall be sized per the BTU's being vented.
CmMNEY TYPE
H EAT LOSS
BTU RATE
VIChinmey A
FIAs Approved
EIAs Per Plan
___Ch~meY B
421Existing
F1Variable
DESCRIPTION OF ALL WORK BEING DONE
VIHot Water EISuppI. ElCon. Burner
~ekeet Vent F1Other
~ Applicable
er Value
vALUE (Including labor and all materials including light fixtures) $ ,~-~C.~ ' o'o
ELECTRICAL CONTRACTOR
~3 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.
FROM : SECKAR ELECTRIC F~× NO. : 9202513S50 Jul. 12 2002 09:54PM Pi
~lectric Ins~altation Verification
work will b~ p~o~d)
The ~gtum oitlle work e~mzist~ o~: (Check One o: D~be ~ Na~¢
~ecfion or n~ circ~t for ~1~ H~ P~t ~'or ~C C~.
~On or n~ ~c~t for r~l~em~ ~c W~: He~ or pow~ v~ted
~i~ ~f ~ Se~cc Bn~ C~ ~mr Box, eI~afions m ~p~l~
~ li~ fix~ ~c to ~i~ng / ~ f~lation. Note: New
~c~ C~I~ will ~ a s~ ~,
~ N~ ~t for ~e a~i~ of~C to ~ ~vidual ~Ul~g ~i~ ~ or tke
i~vi~ ~y~tems in a ~plex or co--init), i~l~ing ~u~
........ O~h~
TI~ value ofti,~ work is $~C~P '
I ~by v~ ~ WOrk ~ ~e p~:~ed by ~ ~ploy~ of ~s c~pmy ~d ~ ~e~fy
~ ~o~x~fi~ / in~on ~1 be done m co~H~ee ~ ~ m~acvarer ~d ~ ~c ~e