HomeMy WebLinkAbout0103371-HVACOSHKOSH
ON THE WATER
.lob Address 3162 HAYWARD AVE
Contractor BERLIN HEATING & COOLING
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner THOMAS N RUSCH
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B O Direct Vent ~ Not Applicable I
Heat Loss ]O As Approved ~ Existing ~ Not Applicable ] Value
BTU Rate ]~ As Per Plan ~ Variable ~) Other ] Value
No
Create Date
Plan
L~ Solid
103371
06/12/2003
Other J
Vent J
Use/Nature NSFR/ Install forced air furnace and central air conditioning, gas piping from meter to furnace, venting bath fans, vent dryer, and vent furnace.
of Work
Fees: Valuation $7,365.00 Plan Approval $0.00 Permit Fee Paid $116.00
Issued By: Date 08/07/2003
Permit Voided J
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address N7545 Forest Ridge Rd BERLIN WI 54923 -0 Telephone Number 920-361-3066
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.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Rug OS 03 08=29a Oshkosh Inspections 920-236-5084
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oslikosh, WI 54903-I 130
Phone (920) 236-5050
Fax (920) 236-5084
Q HKOJ'H
HVAC PERMIT APPLICATION
All informa6on after bold categories mus! be provided.
Incomplete applicadom will not be processed.
· 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. Conu'nencing 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 ~ccount System and have adequate funds, check here
if you want this processed through your account [-]
CHECK g~ ALL APPLICABLE
USE CATEGORY
[[fSingle Family nlDuplex EIMulti-Family ElRental
FL'EL EIGas E/Electric ~Solid SYSTEM
ElOil EISolar
T E
~o~ced Air F1Radiant [3Steam ~/~C nVent FlElectric
IS CHI1VLNEY BEING LINED [3No {Z]¥es o LINER SIZE
Note: All ehizrmeys shall be sized per the BTU's being vented.
CHIMN'~Y TYPE ~himney A mChimney B
~EAT LOSS ~s Approved ElExis~ng
BTU RATE ~'As Per Plan F1Variable
~ew nReplace
EIOther
Elliot Water F1Suppl.
& MANUFACTURER
[3~irect Vent
UlNot Applicable
nOther Value
ElOther
F1Con. Burner
ELECT~C~ CONT~CTOR
~ F~ applicable ~jects, an El~c ~s~llafion Vedfi¢ation fern, si~ed by the El~cal C~actor, must
a~ohed. ~ not a~ched or not appli~ble, a ~p~ate Elec~cal Pe~it is req~md.