HomeMy WebLinkAbout0102759-HVAC (furnace)OSHKOSH
ON THE WATER
,Job Address 447 W 5TH AVE
Contractor ANDRESEN SHEET METAL
Fuel ~J Gas ~
System ~J New
~ 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 DALE C DRAKE
Category 500- Residential-Heating & Ventilating
Electric
Replace
Steam
Suppl.
Solar
A/C
Con. Burner
Chimney B O Direct Vent ~ Not Applicable
Existing ~ Not Applicable
Variable ~ Other
Value
Value
No
Create Date
Plan
L~ Solid
102759
07/11/2003
Other
Vent J
75m btu
Use/Nature SFR/Replace furnace. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$2,200.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$38.00
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 2913 WITZEL AVE OSHKOSH WI 54904 -6539 Telephone Number
(920) 233-0323
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-I 130
Phone (920) 236-5050
Fax (920) 236-5084
/?
HVAC PERMIT
Incomplete applica~om will not be
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed PO Box 1 t 28,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in.fees being, doubled or $100.00 plus the
normal permit fee, which cver is greater.
l£ vou are a contractor particit~atinl~ in the Permit fee Ac,haunt $~stem an~ have ad~q'~ate funds; ~c~eck here
ff vou wont this processed through Four a~count
~. CHECK ~ ALL APPLICABLE
ily ElDuplex
EIMulfi-Family EIRental
OCommercial DIndustrial
FUEL FIEle~a-ic EiSolid SYSTEM EiNew Ell~eplace
EiOil EISolar rlOther
~ed Air ElRadiant FIStcam FIA/C EiVent FIElectrlo I-IHot Water' ElSuppl. EICon. Burner
xs- ,
Note: All chinmeys shall be sized per the BTU's being vented.
CHIMI~Y TYPE EIChinmey A ?_~.'. ey B ~]l~ireot Vent EIOtber
H~:&T LOSS EIAs Approved EIExisting EIN..ot Applicable
BTU RATE EIAs Per Plan ElVariable [:lOther Value ./~..~;~ ~7'~F. ff
DESCRIPTION OF ALL WORK BEING DONE
VALU]~ (Including labor and all mterials including light fixtures)
ELECTRICAL CONTRACTOR
/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.
FROM : SECKAR ELECTRIC FaX NO. : 9202513950 Jul. 12 2002
Electric Installation Verification
Ti~ mt~r~.work e~t~ off (C'~k
R~On or n~ ~euit for r~l~em~ ~e W~r R~ or pow~ v~ed
~c~ C~le~ will m~ a s~
~ N~ ~t for ~e ad~ of~C ~ ~ f~iWdual ~elli~g ~tt ~ or the
i~vi~ ~y~t~f in a ~plex cr
O~h~
I ~by v~ ~ work ~ be p~ed by ~ ~Io~'~ of ~is ¢~p~y ~d ~r~ ve~fy
(l~b~ Name ~ 0~=)