HomeMy WebLinkAbout0104816-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 2227 SHERIDAN ST
Contractor AMERICAN HEATING & A C CO
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner RONALD L ACKERMAN
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
104816
10/16/2003
Other
Vent J
Use/Nature
of Work
Replace 50,00 BTU furnace and 1.5 ton central A/C unit.
Fees: Valuation
Issued By:
$3,850.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$63.50
Date 10/16/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1129 MICHIGAN AVE OSHKOSH WI 54902 -6437 Telephone Number
(920) 235-8090
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
OCT Of HKO/H
HVAC PERMIT APPLICA q T ']ENT OF
All information after bola c.~teg°rieL'~{gJi~Y~'~e~[r~*FlflDM['NT
Incomplete applications will not be processed. -
Application(s) and fee(s) can be brought to City llall, P, oom 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 $I00.00 plus the
normal permit fee, which ever is greater.
OR
I~ you are a contractor p_qrti_~:jp~.(in_g_~_kt~[c_P_~2?!jt__[_e_e~AccoyzU_S3, stem and have adequate funds, check here
~f_vou \r~pt thj_s_~g'_~!~_e_,t&e_d_~l_~! O!tgl! 3.'r,~tr account
O~VNER o d ~
CONTRACTOR
CtlECK [] ALL APPLI(?ABLE
USE CATEGORY
l~ngle Family [-'IDuplex
E]Mnlti-Familv [2]Rental
f-iCommercial
l-Ilndustriat
FUEl, ~Oils IZlElectric ~Solid SYSTEM FINew ,~teplace
UlSolar FIOther
E
rced Air I'-]Radiant FIStcam ~;~,/(' UVent [3Flcctric ~llot Watcr ~SuppI.[~Con. Burner
IS CItlMNEY BEING LINED I~o U]Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sizea per the BTU's being ventea.
CHIMNEY TYPE FIChimney A E]Chimney B l~irect Vent FIOther
HEAT LOSS I-lAs Approved I~isting [DNot Applicable
BTU RATE [DAs Per Plan E]Variable I~)ther Value
DESCRIPTION OF Al./. WO~I~BEINGI'()NE ~E~,~,~,gZ.
VALUE (lncluainl~ labor and all materials including Ii[hr fixtures)
EI,ECTRICAL CONTRACTOR
OR r. ElectriclnstallationVer|ficationformattached(lfReplacement)
Electrical inrtallatton of newh'eplacement equipment shall be done b~, licensed contractors.