HomeMy WebLinkAbout0105192-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 2332 HICKORY LN
Contractor ANDRESEN SHEET METAL
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner PAUL W/JANET K CARSTENS
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
105192
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
FtiX (920) 236-5084
RECEWED
NOV 0 6 200.~
HVAC P E RM I'1~ ~i~lt~tl[3/~'rcl!0 N
incomplete appllcafions will fioFb~Vp~o~.~ ~
O/ KO/H
ON THE WATER
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 ~loubled or $100.00 plus the
normal permit fee, which ever is greater. :~, .., .
OR
~f you are a contractor participating in the Permit fee Accbunt System and' have ade~iate funds, ~h'~ck here
if you want this processed through your account ~ ' '
CHECK ~ ALL APPLICABLE
~Air E]Radiant EISte~'EIA/C ElVent F1Eleetric VlHotWater' I-ISuppl. EICon. BUrner
IS Cg~( BEING L~D F1Nb ~e~: LINER SIZE ,~
Note: All ctfinmeys shall be sized per the BTU's being vented.
C~Y~TYPE :~ ~Chimney~ "' B ~Vent FIOther
F~,AT LOSS FIA~ Approved ~Y r'lNot~Applicable
BTU RATE ~ I-lAs per Plan F1Variable l~Other Value
DESCRWTIOX ALL WORKB IN DO
y~ (!~nd,~ing !~qr ~n~ :~l ;materia~luding light fixtures) $
[3 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.
~ROM : SECKAR ELECTRIC FAX NO. : 920231395~ Jul. 12 2002 09:54PM
Electric Installation Verification
Th* work cm~st~ oE C'aeck One o,
.
~ ~*~ or n~ ~cuit for ~t ~ P~t ~'or ~C C~.
~on or n~ ~c~t for ~l~em~
i~vi~ ~y~t~ i~ a ~ptex or co~i~im), inct~in$
.....