HomeMy WebLinkAbout0104949 HOSHKOSH
ON THE WATER
.lob Address 2356 MOUNT VERNON ST
Contractor ANDRESEN SHEET METAL
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner MARTYN D LOOS
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
104949
10/24/2003
Other J
Vent J
50m btu
Use/Nature SFR/Furnace upgrade - note 4" B-vent chimney. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$1,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$20.00
Date 10/24/2003
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 2913 WITZEL AVE 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
RECEIVED
OCT 2 4 200:
DEPARTMENT Of
O0~'v~UNITY DEVELOPMENT
HVAC PERMIT APPEICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
· 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.
If you are a contractor participating in the Permit fee Acivount System an'd have adequate funds/ dheck here
if you want this processed through your account n , ·
OBA D ss /4r
F'~'.GORY
FUEL ~ nEleetric ~Solid SYSTEM ~New ~
ElOil r"lSolar ElOther
~oreed Air [3Radiant ElSteam II)dC EVent nElectric ~Hot Water ElSuppl. ~Con. Burner
IS CHIMNEY BEING LINED, J2~o nyes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE V1Chimney A [2C .~. ey B ~ireet Vent ~Other
HEAT LOSS ClAs Approved ~Existing ClNot Applicable ..~ ~ ,~/~ ~A
BTU RATE [3As Per Plan E]Variable ElOPer Value ~ dP~vc/
,zscawxio~ or AfL WORKBZe~C DO~ /~q4~e[ ~/~~ --- A/V/e'
,/.
VALUE (Including labor and all materi~i~eluding light fixtures) $
~.LECTRICAL CONTRACTOR
~ For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Elec~¢al Permit is required.
FROM : SECKAR ELECTRIC F~× NO, : ~0~313~50 Jul. $~ 200~ 0~:54PM P:L
Electric Installation Verification
~ ~meo~on or n~ cire~t for ~l~t ~e~ P~t ~*or ~ C Cm~.
~0~ or n~ ~eult for r~l~m~ ~c W~: ~ or ~w~ v~ted
~i~ of~o Se5~c¢ ~ C~, ~mr BoX, ~I~ati~
~c, C~l*~ will ~ a s~ ~,
. ~ ~ ~ c~c~t ~or ~e r~hcem~t of o~ p~tly
~ N~ ~t for ~e ad~t~ of~ to ~ i~uiduaI dw~tti,g ~it ~ or the
i~vi~ syuzem~ in a ~ptex cr c~inim), inel~itg ~u~
.....
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