HomeMy WebLinkAbout0103026-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 1146 CENTRAL ST
Contractor AIR TECH HEATING INC
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner MR/MRS LARRY R WILLIAMS
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
103026
07/23/2003
Other ]
Vent
Use/Nature SFR/Install A/C.
of Work
Fees: Valuation $1,350.00 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
JUL 2 J 200J
"VAC PER"IT
All ~o~fion ~r bold categories ~t
~co~let~ app~cado~ ~ not be ~oce~ed.
O,/HKO./H
· 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account FI
JOB ADDRESS
OWNER
CONTRACTOR
0
CHECK ~ ALL APPLICABLE
USE CATEGORY
~lSingle Family ~Duplex F1Multi-Famity
EIRental
I=]Commercial
Ullndustrial
FUEL '~i~tGas ElElectric ElSolid SYSTEM ~New
F1Oil ElSolar FIOther
FIReplace
TYPE
~Forced Air F1Radiant rlSteam F1A/C IDVent rlEtectric FIHot Water FlSuppl. F1Con. Burner
IS CHIr~N-EY BEING LINED ~No FIyes - LINER SIZE &
MANUFACTURER
No~: Al! ChirnneyS shall be sized per the BTU's being vented.
CmMNEY TYPE
mgAT LOSS
BTU RATE
[3Chimney A
I-lAs Approved
E]As Per Plan
FlChinmey B
F1Existing
F1Variable
FIDirect Vent
I-1Not Applicable
FIOther Value
DOth~
VALUE (Including labor and all matexials including light fixtures) $
ELECTRICAL CONTRACTOR OR [] Electric Inslallation Verification form atlached(If Repla¢~r~nt)
Elect~cal installation of new/replacement equipment shah be done by licensed contractors