HomeMy WebLinkAbout0102806-HVACOSHKOSH
ON THE WATER
.lob Address 670 GROVE ST
Contractor AMERICAN HEATING & A C CO
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner DEWEY HOMES
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA O Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
102806
04/09/2003
Other J
Vent J
75m
Use/Nature NSFR/ Install 75m btu furnace and air exchanger.
of Work
Fees: Valuation
Issued By:
$4,600.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$74.00
Date 07/14/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1129 MICHIGAN AVE OSHKOSH WI 54902 -6437 Telephone Number
(920) 235-8090
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050 ~/~/~
Fax (920) 236-5084
All information after bold categories must be provid'ed?~ Incomplete applications will not be processed.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Bspection S~ices, PO Box 1128,
Oshkosh WI. 54903-1128. Commencing work xvithout pemit(s) will result in fees being doubled or $100.00 plus the
no~al pe~it fee, which ever is ~eater.
OR
lf vou are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through Four account ~
OWNER ~ ~C0
CHECK ~l ALL APPLICABLE
USE CATEGORY
~it~Single Family FIDuplex E]Multi-Famity
UlRental rtCommercial Fllndustrial
FUEL ~.Qas [2]Electric [2]Solid SYSTEM F1New U1Replace
U]Oil UlSolar UlOther
TYPE
~l~orced Air t-IRadiant F1Steam U1A/C ~t~¥ent IDElectric FlItot Water ElSuppl.[]Con. Burner
IS CHIMNEY BEING LINED ~qo r-lYes - LINER SIZE
Note: All chimneys shall be s'zed per the BTU s be'ng vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
FtChimney A
[:]As Approved
[:]As Per Plan
[~imney B
FtExisting
UlVariable
FIDirect Vent
J2~4ot Applicable
~Other Value
DESCRIPTION OF ALL WORK BEING DONE
& MANUFACTURER
FIOther
VALUE (Including labor and all materials indnding light fixtures) $
ELECTRICAL CONTRACTOR
OR [] Electriclnstallation Verification formattached(IfReplacemen0
Electrical installation of new/replacement equipment shall be done by licensed contractors,
3/02