HomeMy WebLinkAbout0102113-HVAC (a/c)OSHKOSH
ON THE WATER
,Job Address 318 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 HEATH C TOMLIN
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
102113
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
JUN 1 0 2003
DEPARTMENT' OF
COMMUNITY DEVELOPMENT
HVAC PERMIT APPUCATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
* Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection S~rviccs, PO Box 1128,
OshkOsh WI 54903-1128. Commencing work without permit(s) wilt result in. fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
!f vou are a contractor participating in the Permit fee ~4c&ount Svs.tem an"d have ad~iiuate funds. !c~eck here
if. you wa.n.~ this PrOCCX..~ed..t.h.r~.ugh your aCcoUnt N :.' ~ ; · -.
JOB
ADDRESS
!
CHECK [] ALL APPLICABLE
e Family ElDuplox ElMulti-Family F1Rental ElCommercial FIIndustrial
FUEL ~l~as ElElectric ElSolid SYSTEM ~ ElReplace
DOff OSolar · FiOther
TYPE
FIForced Air IDRadiant r'lSteam '--EI~JC ElVent ElEiectric
IS ~Y BEING LINED FINo ElYes - LINER SIZE,
Note: All chimneys shall be sized per the BTU's being vented.
FIHot Water UISuppl. FlCon. Burner
& MANUFACTURER . .
CHIMNEY TYPE
HEAT LOSS
BTU RATE
ElChirrmey A
ElAs Approved
ElAs Per Plan
OChimncy B
FIExisting
EiVariable
ElDirect Vent
l:INot Applicable
ElOther Value
F1Other
DESCRIPTION OF AI,I, WORK BEING DONE ~V(_~5~..J. Z~t'~. ~ (~"~d ..........
VALUE (Including labor and ali materials including light flxtures)~/7ff-fl~ c~o
D For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
FROM : SECKAR ELECTR I C
FAX NO. : 9202513950
2002 09:54PM P1
Eieclric Installation Verification
· III I
(Zip C~¢)
~e~fiOn or n~ circ~t for ~~,
~~On or n~ ~c~t for r~l~em~ ~c W~r Bea~ or ~w~ v~:ed
~~ti~ e~ ~e~e~ ~0e C~, Sfemr Box, ~l~ations t~ ~p~l~
fi~$ fix~ &, to siding / ~ i~la~ion. Not~: New S~'ice
~c~ C~les will ~ a
for ~e ad~t~n of~C to ~ iMividu~[ ~ltl~g ~ ~o~ or the
i~vi~ e~teml in a ~plex or
work is S /5-"-dO' o~
I lift, by vefiil5/thia WOrk wilt be p~formed by an emplo>.~ of ~his campany and t~4-~,,er veri~y
th~ r~on:x~t/on / in~mllatien v,-ill be done in ~ompliance wP21 m~.~m~acmrer and ~leetric ~c!e
(D~¢)