HomeMy WebLinkAbout0103024-HVAC (furnace; a/c)OSHKOSH
ON THE WATER
.lob Address 835 HERITAGE TRL
Contractor AIR TECH HEATING INC
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner MIGUEL DELAO JR
Category 502- Residential-Both
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 ]~ As Approved ~ Existing O Not Applicable ] Value
BTU Rate ]~ As Per Plan ~) Variable ~ Other ] Value
No
Create Date
Plan
~ Solid
103024
06/04/2003
Other ]
Vent
Use/Nature SFR/Replace furnace and install a/c.
of Work
Fees: Valuation $7,000.00 Plan Approval $0.00 Permit Fee Paid $110.00
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 oo3 O/HKO/H
HVAC PERMIT APPLICA~Tt~-r
~o~lete app~canom ~ not pr ces .
· 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
!f vou are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this vrocessed through your account
JoB X~Dm~SS 2 3~ ~/e~zZ2~e ) ~
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d
CH ~:CK [] ALL APPLICABLE
USE CATEGORY
~LSingle Family FIDuplex F1Multi-Family
rlRontal DCommercial FlinduStdal
FUEL ~lGas ~Electrie I-ISolid SYSTEM ~New- ~q/C I~lReplace'Ot-/-t/t/Zp~-m-~
r'lOil F1Solar F1Other
TYPE
IL~lForeed Air F1Radiant F1Steam I-IA/C FlVant ~Electric ~Hot Water ElSuppl. V1Con. Burner
IS CItlMNEY BEII~IG LINED ~No ~Yes - LINER SIZE
Note: Al! chimneys shall be sized per the BTU's being vented.
& ~ACTURER
£:u i M/~EY TYPE FIChimney A I"lChimney B F1Direct Vent V1Other
lIE. AT LOSS l-lAs Approved F1Existing U1Not Applicable
BTU RATE r-lAs Per Plan I-1Variable F1Other Value
D~scm~rio~ o~ ^~,~. wom~ m~ Do~ (~ ~ ~z~_ ~ ~
VALUE (Including labor and all materials including light fixtures) $ ~ ~, 00
ELECTRICAL CONTRACTOR OR [~ Electric Installation Verification form at~ached(IfReplacemen0
Electrical installa~ion of new/replacement equipment shall be done by licensed contractors