HomeMy WebLinkAbout0102557-HVAC (a/c)OSHKOSH
ON THE WATER
,Job Address 137 W 12TH 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 DAVID E/BARBARA EICHMANN
Category 501 - Residential-Air Conditioning
Electric
Replace
Steam
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
102557
07/01/2003
Other
Vent J
60m btu furnace
Use/Nature SFR/New A/C add on 2 ton. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$3,200.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$53.00
Date 07/01/2003
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
JUL 0 1 2005
D£PARTM£N ·
HVAC PERMIT APP~OATION
All information at, er bold ca~fies m~t be prodded.
~co~l~* a~cafiom ~11 not ~ p~.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box I 128,
Oshkosh WI 54903-1128. Commencingworkwithoutpermit(s)willresultinfeesbeingdoubledor $100.00 plus the
normal permit fee, which ever is greater.
OR
ff yo# are a co~tractor participating in the permit fee Account System an'd have ad~q'uate funds ~C~e,ck he,re
ff ¥ou want this processed through your account ["] ·
DATE
CHECK ~ ALL APPLICABLE
12fSingle Family ElDuplex ElMulti-Family
[3Rental
EICommercial
Ellndustrial
FUEL ElGas F1Electric ElSolid SYSTEM
ElOil ElSolar
I~ew
~Air I'lRadiant ElSteam ~ OVent rnEleelric
IS CHIMNEY BEING LINED r'INo~es - LINER SIZE ~.~//
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
ElChinmey A
EIAs Approved
EIAs Per Plan
ElVariable
DESCRIPTION OF ALL WORK BEING DONE
Elliot Water' EJSuppl. ECon. Burner
-EID~k~t Vent ElOthar
Value
VALUE (Including labor and aH materials including light fixtures) $ ~.~-~ 0 · v o
[2 For applicable projects, an Eleclric Installation Verification form, signed by the Eleclrlcal Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
Electric Installation Verification
(Add~) (Ci~) ($~::e} (zip Co~e)
~e Ofp~ ~n~ted to)
(Ad.ss ~ work Will be p~o~cd)
~ ~.~ ~ o~: (C~k One ot D~ ~ Na~e of W~)
.. K~ou ~ ~ c~c~ for ~e r~hc~m~t
. _ N~ ~t ~or ~e ad~ti~ of~C to ~ f~viduaI ~e~li.g ~it ~ or the
i~vi~ ~ystem~ in a ~plex
.... O~b~
(Sign~a~ of Comp~my Officer) (l~k~t N~ne ~ 0/i5~) (D~)