HomeMy WebLinkAbout0101960-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1214 HARNEY AVE
Contractor ANDRESEN SHEET METAL
Fuel ~J Gas ~
System ~J New
~J Forced Air 1
~J Electric I
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner MICHELE L BROEGE
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney B O Direct Vent ~ Not Applicable
Existing ~ Not Applicable
Variable ~ Other
Value
Value
No
Create Date
Plan
L~ Solid
101960
06/05/2003
Other
Vent J
60M BTU
Use/Nature SFR/Furnace upgrade. Add 1 heat and 1 return air to second floor. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$2,500.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$42.50
Date 06/05/2003
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
JUN 0 5 2003
HVAC PERM~~~~.'u£
~co~lctc ~p~fions ~I1 not be processed.
Application(s) and fee(s) can be brought to City Hall, Rom 205 or mailcd to Inspection Services, PO Box 1128,
OshkOsh WI 54903~1128. Commencing work without permit(s) will result in gees being ,doubled or $100.00 plus the
noml permit fee, which ever is greater.
OR
If , y,OU are, a contractor participating in the Pe, rmit fee,/lc~ount, Sys, tqm'and: have'ade'auate funds. ~h~ck here
ff _VO.U w. ant. this Processed throu~h.vOur .acCount []
DATE' ~-~-~,,~
/
....... ; ..... ....
CI:iECK l~l ALL APPLICABLE
USE~ATEGORY
l~tSingle Family [3Duplex [3Multi-Family [3Rental
[3Commercial
Cllndustrial
FUEL l~as IZlElectric FISolid SYSTEM rlNew 13R~e
I:lOil DSolar rlOther
Air ElRadiant nSteam FIA/C IZIVent ElElectric Elliot Water' EISuppl. IZICon. Burner
cmlVLNEY
BEING
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE FIChimney A EIC~.'nmey B 13D~kcct Vent I-IOther
HEAT LOSS E]As Approved ~xisting I-IN~ot Applicable
BTU RATE rlAs per Plan rlVariable I~]Other Value, ~D 2Z~ ~ /~7~6/ ~'~., ,¢' ,,
VALUE (Including labor and all materials including light fixtures) $ .
E~.ECmucAL CO~TaAC~O~t ~/~i/z.;O~ ....
D For applicable projem, 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 FAX NO. : 9202313950 3ul. 12 2002 09:54PM Pi
Electric l~stallation Verification
%tm na~r, of ~tflp~ork ~sizks of: (Check One o: D~be ~ Na~e of W~)
~~on or n~ ~rcult fo~ r~l~em~ ~c ~r ~e~ or pow~ v~:ed
~~ ~ ~ C~c~ for ~e r~cem~t of o~er p~tly
O~her
(Prin~. Nam~ o{
(D~)