HomeMy WebLinkAbout2003-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 814WRIGHT ST
Contractor ANDRESEN SHEET METAL
Fuel
System
Gas J ~J Oil
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner JEFFREY J/SUE A WICINSKY
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B
O Existing
~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
102112
04/24/2003
Other J
Vent J
Use/Nature Install furnace.
of Work
Fees: Valuation
Issued By:
$3,500.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$57.50
Date 06/11/2003
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 1 0 200J '
.o_ ~r, · ~OfHKOYH
All ~fioa a~r bold ca~go~es ~st
~co~lete appHc~ons ~ll not ~ ~cessed.
Application(s) and fee(s) can be brought to City Hail, 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. '
I£ you...are.a contractor participating.Itt the permit fee/Jcbount SYstem and .have adbOua.te funds', lc'beck here
if you w,an, t this processed through Your account ['] :. ,..'.. "' ' ,. - ....
ow . '" ........
CHECK !~ ALL APPLICABLE
USE CATEGORY
DSingle Family F'lDuplex F1Mulfi-Family DCommercial ElIndustrial
IZIEtectric ClSolid SYSTEM 'DNew
EIOil EiSolar. E1Other : ....
~~dAir EIRadiant i:]Steam ' 'EIA/C EJVent 12lEleetric
IS CltlMI~Y BEING LINED~ VIYes . LINER SIZE ,/'V~,
Note: All chimneys shall be sized per the BTU's being vented,
cm~m, OCOma, y^ ~y~
RAT LOSS [:lAs APPrOved ~ I3~pplicable
BTU RATE EIAs Per Plan EIVariable 4EIOther Value
DESCRIPTION OF ALL WORK BEING DONE ......... ,,,
EIHot Water ElSuppl, EICon. Burner
t,. & MANUFA~R
DOther
VALU~ (Including labor and all materials including light fixtures) $ ~O'~.~"E)('~/ ~, O, V,,, >,
.L.CmCA~ co~r~c~o~ ._.,..._~ 4 ~
D For applicable projects, an Ele~ri¢ Installation Verificati°n t;0rrn' 'signed by the Ele. t~cal Contractor, must be
attached. If not attached or not applicable, a separate ElecWical Permit is required.