HomeMy WebLinkAbout0103025-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 1233 W 10TH AVE
Contractor AIR TECH HEATING INC
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner KEVIN T/MELANIE LAMORA
Category 501 - Residential-Air Conditioning
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 ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~] As Per Plan ~] Variable ~ Other I Value
No
Create Date
Plan
~ Solid
103025
07/21/2003
Other ]
Vent
Use/Nature Install air conditioner.
of Work
Fees: Valuation $1,315.00 Plan Approval $0.00 Permit Fee Paid $26.00
Issued By: Date 07/23/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
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
RECE]VEE
dUL 2 3 £00~ O/HKO/H
HVAC PERMIT APPLICATION
All information after bold categories must [~'~NT OF
Incomplete applications will n~([~4~i¥ DEVELOPg~EMT
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 doubled or $I00.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee ~tccount System and have adequate funds, check here
if you want this vrocessed throu~h your account
DATE
CONT CTOR f234
CHECK I~l ALL APPLICABLE
USE CATEGORY
~(ISingle Family I:lDuplex
F1Mulfi-Family DR~ntal
FICommercial
Cllndustrial
FUEL [~IGas [3Electric F1Solid SYSTEM ~4cw FIReplace
V1Oil [3Solar FIOther
TYPE
I~Forced Air [3Radiant UISteam F1A/C ElVent [3Electric FIHot Water F1Suppl. F1Con. Burner
IS CItlMNEY BEING LINED ~No DYes - LINER SIZE
Note: Alt chimneYs shall be sized peqathe BTUr?'s b~lg vented. -
& MANUFACWURER
CH iM~rEY TYPE
H ~;AT LOSS
BTU RATE
[3Chimney A
[3As Approved
[2]As Per Plan
F1Chimney B
FiExisfing
F1Variable
F1Direct Vent
FiNot Applicable
[3Other Value
[3Other
DESCRIPTION OF ALL WORK BEING DONE ~3~f~._ '~C~0~25) ~.)
VALUE (Including la[mr and all materials including light f~xtures) $ /.~/~ - (~ O
ELECTRICAL CONTRACTOR OR ~ Electric lnstallation Verification formattached(IfReplaeemen0
Electffcal installation of new/replacement equipment shall be done by licensed contractors