HomeMy WebLinkAbout0104097-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1211 HIGH AVE
Contractor ANDRESEN SHEET METAL
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner NYLOC INVESTMENTS LLC
Category 500- Residential-Heating & Ventilating
L~ Electric
New ] ~] Replace ]
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~) Chimney A ~) Chimney B O Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved O Existing ~ Not Applicable I Value
BTU Rate I~] As Per Plan ~] Variable ~ Other I Value
No
Create Date
Plan
~ Solid
104097
09/10/2003
Other ]
Vent
60m
Use/Nature SFR/Move furnace into utility room & re-duct.
of Work
Fees: Valuation
Issued By:
$2,900.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$48.50
Date 09/10/2003
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
O/HKO/H
ON THE WATER
,0
· 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 participating in the Permit fee ~lc~eount System an'd have adequate funds~~ ~heck here
if you ~vant this processed through your account ~] ' , .
CHECK [~ ALL APPLICABLE
USE CATEGORY
ElSingle Family
F1Oil
FIDuplex []Multi-Family 122Rental ElCommercial Fllndustrial
rlEleetric F1Solid SYSTEM I-INew ce
FlSolar [3Other
~orced Air E3Radiant [3Steam I-IA/C [3Vent [3Electric
IS CHiM]~EY BEING LINED ~o [3Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
[3Hot Water [3Suppl. F1Con. Burner
& MANUFACTURER
CmMNEY TYPE [3Chimney A ~yB
IIEAT LOSS I-lAs Approved
BTIJ RATE FIAs Per Plan [3Variable
DESCRIPTION OF ALL WORK BEING DONE
~keet Vent [3Other
E[3,o~Applieable /x.
er Value /_c~(J~c~
VALUE (Including labor and all materials including light fixtures)
ELECTRICAL CON'rRACTOR
[3 For applicable projects, an Electri~ Installation Verification form' signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.