HomeMy WebLinkAbout0105439-HVAC (furance & add liner)OSHKOSH
ON THE WATER
.lob Address 423 W 14TH AVE
Contractor AIR TECH HEATING INC
Fuel
System
Gas J ~J Oil
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner ROBERT J CHRISTENSEN
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B ~ Direct Vent O Not Applicable I
~ Existing O Not Applicable I Value
~ Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
105439
11/21/2003
Other
Vent J
Use/Nature SFR/Replace furnace and add liner.
of Work
Fees: Valuation
Issued By:
$2,850.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$48.50
Date 11/21/2003
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 1305A INDUSTRIAL PARKWAY FOND DU LAC WI 54937 -2208 Telephone Number
(920) 924-6742
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
RECEIVi
t 0v 2 /HKO/H
HVAC PERMIT APPLIC , I,h..
All infomtion aaer bold categories mus~ g~i~.~ U~LO~
I~complete applicaao~ will not be ~rocessed.
· 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. Commancing 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 participatin~ in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account 0
JOB ADDRESS
OWNER
CONTRACTOR
DATE 11-1 8'0.3
CHECK [] ALL APPLICABLE
USE CATEGORY
0[Single Family DDuplex
FIMulti-Family I~Rental
DCommercial
Dlndustrial
FUEL t~tGas F1Electric EISolid SYSTEM
I~Oit K1Solar
[~New [~-Replace
FlOther
TYPE
~SForced Air DRadiant []Steam []A/C ElVent []Electric
IS CRIMNEY BEING LINED []No ~Yes - LINER SIZE&" 5~ '
Note: All chimneys shall be sized per the BTU's being vented.
[]Hot Water []Suppl. ECon. Burner
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
[]Chimney A
E]As Approved
[lAs Per Plan
F1Chimney B
DExisting
E]Variable
[]Direct Vent
ElNot Applicable
FIOther Value
DO~
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ o~. ~ ~, ~9 0
ELECTRICAL 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 Electrical Permit is required.
9/02