HomeMy WebLinkAbout0104128-HVAC (furnace; a/c)OSHKOSH
ON THE WATER
Job Address '752 W 10TH AVE
Contractor ANDRESEN SHEET METAL
Fuel I¢'1 Gas
System [~_ New
~ctdc ]
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner WILLIAM E/JACQU SNEARLY
ChimneyType ~.~ ChimneyA
Chimney B [ ] Direct Vent
No 104128
Create Date 09/11/2003
Plan
Category 502- Residential-Both
r LJ Oil j [~' Electric ~
I [] Replace J
L~ Forced Air J LJ Radiant J LJ steam I ~ NC I L~ Vent j
~ HotWater 7 I ISuppl. I [ICon. Burner I
() Not App,caUe I
Solar ] LJ Solid
[] Other
Heat Loss ~, ) As Approved O Existing (, ] Not Applicable ] Value 0
BTU Rate ~,) As Per Plan ~ ] Variable 0 Other I Value 50m btu
USeo/~l~oU:~ MULTI-FAMILY/Furnace and NC upgrade. *EIV form from Seckar Electric.
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $50.00
Issued By: Date 09/11/2003
[] Permit Voided J
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 resthctions 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 2913 WITZELAVE OSHKOSH WI 54904 -6539 Telephone Number (920) 233-0323
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
All ~o~en a~ bold ca~gofie~A~d.
· A~lication(s) ~d fee(s) c~ be brou~t to ~ ~11, Room 205 or roiled te ~sp~on ~e~c , 1128,
Os~osh ~ 54903-1128. Cornicing work ~thout p~it(s) ~11 reset in fees berg doubled or $1~.00 plus ~e
noml pmit fee, which ev~ is ~ter.
OR ..... '
If yo~ are a contractor participati~g in the Permit lee ~ceount System and have adequate [unds~ check here
~[~ou want this processed through Vour account ~ ·
CHECK [] ALL APPLICABLE
USE CATEGORY
~lSingl¢ Family ODupleX
,l~M~ulti-Family
rlRental
rlCOmmercial
Dhdustrial
FUEL --E~as DElectric FlSolid SYSTEM
COil DSolar
F1New
FlOther
~lace
~orcedAir rlRadiant [3Steam ~ r'lVent F1Electric
IS £:HI~INEY BEING LINED rqNo [2~es - LINER SIZE
Note: All chirrmeys shall be sized Per the BTU's being vented.
CHIMNEY TYPE DChimney A _]~.'~ey B
HEAT LOSS OAs Approved 4ElExisting
BTU RATE OAs Per Plan DVariable
DEscmImON BEIN
[3Hot Water [3Suppl. DCon. Burner
& M~mU~ACTU~R/42~/C~7
E]Direct Vent ~Other
M~.gJth Applicable
erwu¢
(/.VALUE (inelUdinglabor andanmateri~sineludingiightfixtUreS)$ ...~:~ do '
ELEC'rmc CoN,n AC 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.
F~OM : SECK~R ELECTRIC FAX NO. : ~202~1~95~ Jul. ~2 ~00~ 09:54PM P1
Electric Installation Verification
(A~)
(Ad.ss ~ work will
.
~on or n~ ~rc~t for ~ ~ P~ ~ ~C C~.
~On or ~ ~ for r~l~m~ ~ W~r ~e~ or ~w~ v~:~d
~n$ fix~ ~c ~ siding / ~ ~latiom Not~t
~ce C~les will ~ a
~ ~ ~ ¢~c~t for ~ r~lacem~t of o~er ~ly
for ~e a~ of NC to ~ i~ividuaI ~li~g ~i~ ~ or the