HomeMy WebLinkAbout0101537-HVAC (furnace)(~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 836 OAK ST Owner JEFFREY G SCHMIEDEL
Contractor TENTH STREET STATION INC Category 500 - Residential-Heating & Ventilating
Fuel ~J Gas J ~J Oil b~ Electric ~J Solar
System ~J New ~ ~J Replace ~ ~J Other
~J Forced Air I ~J Radiant L~ Steam ~J A/C
~J Electric I ~J Hot Water b~ suppl. ~J Con. Burner
Chimney Type I~ Chimney A O Chimney B ~ 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 70m btu
No
Create Date
Plan
~J Solid
Vent
101537
05/13/2003
Use/Nature SFR/Replace furnace and line chimney.
of Work
Fees: Valuation
Issued By:
$1,700.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$30.50
Date 05/16/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 924 OHIO STREET OSHKOSH WI 54902 -0
Telephone Number
236-8770
FROM :TENTH STREET STATION, INC. FAX NO. :928-236-8158 May, 13 ~3 08:3'2AM P1
City of Oshkosh
Division of Insp~on
P.O. Box 1130
· Oshkosh, WI 54903-1130
Pho~ (r20) Z~O-50~0
I:ax (~0) 236-5084
HVAC PERMIT APPLICATION'
All informalion after bold categories must be provided.
Incomplete applications wi]j ~ot b~ processed.
* Applioation(s) and fee(s) oan be brought to City Hall, Room 205 or mailed to Inspection Service, PO Box 1 t28,
Oshkosh WI 54903-1128. Commencing work without pmmit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is srester.
OR
If VOU [Ir~ O,contractor Darticiz~atin~ in tl~e Permit fee /Icc_oiint $¥$1em a.~td have ~dequate fund~,_check here
if XOU wan,,t this ,proce$~e_d.th. rou~h vo_ur account ~._
JOB ADDRESS. ~(o ~)ct.R~ ~.
copmv,, cro
CHECK ~ ALL APPLICABLE
USE CATEGORY
[~'$ingle Family CIDuplex
L'lMulti-Farnily I"IRental r'lCommerdal 0Lnduswial
FUEL ~Cms OElect~c CISolid SYSTEM OBlew Il}Replace
E]Oil ClSolar OOthcr
TYPE
l!~F0rced Air ORadiant EISteam FIA/C OVeat OEIectric Elliot Waist ElSuppl. OCon. Burner
IS CHIM~Y BEING LINED ralWlo ~y~ - LINER SIZE 9n% ~,:g..t & MANUFA~R tO~:~C,/t~oz__
Note: All ch/rraeys ~ball b¢ sized pot th~ BTU's being vented.
CHIMNEY TYPE r'lChMmey A ~Chinmey B EIDirect Vent
HEAT LOSS [2As Approved II,Existing ONot Applicable
BTU RATE r'lAs Per Plan OVariable ~Other Value
DESCRIPTION OF ALL WORK BEING DONE.
co oR
For a~licabl~ ~je~, an Blec~c ~s~llation Verification fo~, si~cd by ~e Elec~cal C~tor, m~t ~
a~chcd. If not a~chcd or not applicabl~, a s~tc Elcc~cal Pc~t is ~d.