HomeMy WebLinkAbout0105191-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 2880 FOND DU LAC RD
Contractor ANDRESEN SHEET METAL
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner JEFFREY D/SUSAN POTRATZ
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 ~) Chimney B O Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved O Existing ~ Not Applicable I Value
BTU Rate I~] As Per Plan ~] Variable ~ Other I Value
No
Create Date
Plan
~ Solid
105191
11/06/2003
Other ]
Vent
75m btu
Use/Nature SFR/Furnace upgrade. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$2,500.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$43.50
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
Fax (920) 236-5084
NOV 0 6 200,7
HVAO PER IT APPLIOATIO
All ~fo~fion ~er bold categories mst ~ provided.
~co~lete a~licafions ~ 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 qtoubled or $I00.00 plus the
normal permit fee, which ever is greater.
If you are a contractor participating in the Permit tee Accbunt System and have ade~d~te £unds, dh~dclc here
·
US~>'A'~GORY
.4~ngle FamilY DDuplex ' V1MultixFamily QRental I-1Commercial E]Industrial
F~L ~ VIEiectric F1Solid sYSTEM F1NeW
; ViCi! ViSolar F1Other
TYP
~Air V1Radiant v1Steam FIA/C ~Vent FIElectric
IS CHIMNEY BEING LINED vIN0 LINER SIZE
Note: All chinmeys shall be sized per the BTU's being vented.
CHIMNEY TYPE vIChimney A
HEAT LOSS V1As Approyed
BTU RATE vIAs Per Plan
DESCRIPTION OF ALL WORK BEING DONE
Elliot Water; VlSuppl. I-Icon. Burner
~.lEt~xisting F1Not~plicable
vIVa,able aherValue
y~UE (Ine!,ding !al~0[ ~d all materi~uding light fixtures) $ ,~ff~l, ,0
,LECTPaCAL CONTRACTOg
E] For applicable projects, an Elec~c 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 F~× NO. : 9202~13950 Jul. 12 2002 09:54PM
Electric Installation Verification
work will be p~O~cd)