HomeMy WebLinkAbout0105190-HVACOSHKOSH
ON THE WATER
.lob Address 2570 SHERIDAN ST
Contractor ANDRESEN SHEET METAL
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner JERRY N/MARY M JOHNSON
Category 500- Residential-Heating & Ventilating
L~ Electric
New ] ~ Replace ]
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~) Chimney A O Chimney B ~) Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~] As Per Plan ~] Variable ~ Other I Value
No
Create Date
Plan
~ Solid
105190
11/06/2003
Other ]
Vent
Use/Nature SFR/Add heat runs to 3 seasons room.
of Work
Fees: Valuation
Issued By:
$865.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$22.00
Date 11/06/2003
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 /
NN ON THE WATER
HVAC PERMIT APPLIC IoN200,
All information after bold categories i • be . rovided. •
Incomplete applications Will -not k N T
, 1 ,� �G�
< - •
REV
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to i rv ices, 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.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds. ch'cck here
if you want this processed through your account f
r DATE //— 7 '03
JOB ADDRESS °25'76) c e,a )
OWNER 6),S'!)A/
CONTRACTOR , Z& et'r e- / JAI tt( MLA
CHECK PI ALL APPLICABLE
USE GORY
ii 1e Family ❑Du lex ❑Multi -Family ❑Rental ❑Commercial ❑Industrial
g Y � P Y
FUEL 436 ❑Electric ❑Solid SYSTEM ❑New DReplace
❑Oil ❑Solar ❑Other Ad /(Ea.41 r6 add/Am)
TY
.Forced Air ❑Radiant ❑Steam DA/C ❑Vent ❑Electric DHot Water DSuppl. ❑Con. Burner
IS CHIMNEY BEING LINED loo lYes - LINER SIZE /(/4 & MANUFACTURER /V
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A - 9Chimney B ❑Dirt Vent ❑Other
HEAT LOSS DAs Approved ❑Existing mot Applicable
BTU RATE DAs Per Plan ❑Variable h- ❑ Oth Value
DESCRIPTION OF ALL WORK BEING DONE oC, Ect e1 J SD/t/
VALUE (Including labor and all materials including light fixtures) F26,5 OO
ELECTRICAL CONTRACTOR 4/14-
/4
❑ 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.