HomeMy WebLinkAbout0102758-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 412 KNAPP ST
Contractor BLACK-HAAK HEATING
Fuel ~J Gas ~
System ~J New
~J Forced Air 1
~J Electric I
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner GREGORY/ELLEN PIPER
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney B ~ Direct Vent ~ Not Applicable
Existing ~ Not Applicable
Variable ~ Other
Value
Value
No
Create Date
Plan
L~ Solid
102758
07/09/2003
Other
Vent J
60m btu
Use/Nature SFR/Replace furnace due to cracks in the existing furnace's heat exchanger. *EIV form from Krueger Electric.
of Work
Fees: Valuation
Issued By:
$1,600.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$29.00
Date 07/11/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX3070 APPLETON WI 54914 -3070 Telephone Number
(920) 757-9990
City of Oshkosh
P.o.Divisi°n of Impection ServicesOshkosh.Phone Box (920) WI 1130236-505054903-1130
"VAC PERMIT
al ~omfion a~er bold categories ~~t/f? ~, '
Inco~lctc applications will not be
Application(s) ~d f~(s) ~ b~ brought to Ci~ Hall, Room 20~ or ~il~d to ~sp~fion 8~¢s, PO Box 1128,
Os~osh ~ ~4903-1128. Co~ing work without p~it(s) Mil result
If you are a con~raetor partieipatin~ in the Permit fee ~eeoun~ System and have adequate funds, ~heck here
if you want this processed through your account ~
CB-ECK [] ALL APPLICABLE
USE CATEGORY
~ii[~ingle Family DDuplex F1Multi-Famil)) V1Rental DCommer6ial [2]Industrial
FUEL I~Gas F1Ele~tfic r~Solid SYSTEM [2]New Replace
121Oil []Solar []Other
YPE
orced Air []Radiant F1Steam VIA/C r-IVen, t VtElectric []Hot Water []Suppl. []Con. Burner
IS CHIMNEY BEING LINED VINo []Yes - LINER SIZE
Note: All chimneys shall be size~per the BTU's being vented.
CItlMNEY TYPE DCl~mney A J~himney B
lCtrl~.~T LOSS FIA~ Approved [2lExisting
BTU RATE r'lAs Per Plan []Variable
?q' & MANUFACTURER.~._~-~ Og't ~ iC~ (
[]Direct Vent []Other
VINot Applicable
[]Other Value ~., 00
D~SCRIPTION OFALL WORK BEING DONE
amched. If not a~ached or not applicable,
~eparate Electrical Permit is required.
Electric Installation Verification
(Add.ss) (Ciw) ' (St~) (~ip Code)
have b~ connoted ,o'p~on~ ~]~ctnc ~,allat,on wozk for~
(Ad~ ~h~c work ~
~e nat~ ortho work conm~t~ of: (~eck ~e or Dc~dbz ~e Na~ of Work)
~ R~o~tion or n~ ci~uil for gplac~t Hea~ Pl~t ~or ~C Cond~ser.
~ Rec~6~ or n~w ~i~Rit for r~lae~t E]~c Wat~
.... Rccmm~ti~ of~e ~cz En~co Cab]o, M~ Box~ alt~afions to ~]es m~d
li~tJng fix~es duo ~ siding / so~t ins~a~on. Note: New g~icc
C~I~s will ~equi~ a s~ate ~it.
..... Reco~ecti~ or new ~ircuit
~ ~ 0~ [br oth~p~aa~tly.~ ~plimce~
/~/'~ .~ ~--, .......
Thc valu* of this work is $_~--,~ ,/~ ~, .
I hereby wri~ this work will be W-"r£orm~ b~ an employee oftllis company mid f._~er verify Lhe
r~co.nnection / instalianon vnJl bc done in corapllanco with mam~fhctur~ and Ek-ctric code
r~quLrements,
. ($i~m,a~ze ofComf~u~y O~flc~-
(Print Narnc of Offi¢c -
(Date)
Black-Haak Heating,
Heating - Cooling 24 Hour Service
July 9, 2003
City of Oshkosh
Inspection Services Division
PO Box 1130
Oshkosh WI 54902-1130
Regarding: BUILDiNG PERMIT FEE SCHEDULE
Katrina, would you please mail or fax and up dated building permit fee schedule.
effective July 1, 2000. (Fax # is 920-757-9992) Thank you.
Sincerely,
Norreen Ha,ak
Our is dated
P.O. Box 3070
Appleton, WI 54914-0070
Appleton (920) 757-9990 · Oshkosh (920) 231-6642