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Home My WebLink About0102114-HVAC (a/c)OSHKOSH ON THE WATER ,Job Address 310 SARATOGA AVE Contractor ANDRESEN SHEET METAL Fuel ~J Gas ~ System ~J New [~ 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 W PATRICK/KATHY HAUCK Category 501 - Residential-Air Conditioning Electric Replace Steam Suppl. Solar A/C Con. Burner Chimney B ~ Direct Vent O Not Applicable Existing O Not Applicable Variable ~ Other Value Value No Create Date Plan L~ Solid 102114 06/11/2003 Other Vent J 2.5 ton a/c Use/Nature SFR/Install new a/c. *EIV form from Seckar Electric. of Work Fees: Valuation Issued By: $1,700.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $30.50 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 RECEIVED DEPARTMENT OF HVAC PE IRIttl UM: II:I KtllBItiNT All information after bold categories must be provided. Incomplete applications will not be processed. ©/HK© H ON 'm~ W^?/ · 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, cont,ractor participating in th~ Permit,fee dckount System and have ad~itate f#nds,'~c~ec,k,h~re, ify,o.u want.this pr°cessed.thro..ugh your. account ['~] ' "';-"," ' ......."' JOB ADDRESS CFIECK [] ALL APPLICABLE USE~GA'TEGORY ~mgle Family EIDuplex EIMulti-Family EIRental ElCommercial E]Industria! FUEL I-IGas I-IElectric [Solid SYSTEM I-IOil I"lSolar TYPE . [Forced Air [Radiant I-1Steam ffA/C r'lvent [Electric ~ FIReplace [Other [Hot Water []Suppl. [:]Con. Burner IS CIIlMNEY BEING LINED VINo [Yes - LINER SIZE ~/~/~- & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CmMNEY TYPE glEAT LOSS BTU RATE FlChinmey A las Approved rqAs Per Plan r'lchin-mey B EIExisting [Variable VIDirect Vent F1Not Applicable [:]Other Value [Other DESCRIPTION OV ALL WORK BEING DONE VALUE {inclnding l.bor a.d all materia~ncl.ding light fixtures) $ ~ 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. Electric Ins~allatio~, Verification Th~ nalur~ a.~ work com~ists of: (C~k One or D~b~ ~ N'a~e o~W~) ~~on or n~ ~c~t ~or r~l~m~ ~c W~r ~e~ or pow~ v~ted N~ ~t for ~e ad~i~ of~C to ~ i~uiduaI dwe~l~g ~z ~o~ or the TI~ value, orris w~rk is $/~"~ ' I ~by v~ ~ work ~ be p~ed by (Si~ of C~y Officer)