HomeMy WebLinkAbout0103559-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 220 SULLIVAN ST
Contractor AIR TECH HEATING INC
Fuel
System
Gas J ~J Oil
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner MONICA O BERRELL
Category 501 - Residential-Air Conditioning
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B ~ Direct Vent O Not Applicable I
~ Existing O Not Applicable I Value
~ Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
103559
08/15/2003
Other J
Vent J
Use/Nature SFR/Install A/C.
of Work
Fees: Valuation
Issued By:
$1,250.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$24.50
Date 08/15/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
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.
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
Oshkosh,P'o'Divisi°n of Inspection Services Box WI 113054903_1130 R~C~f VE
Phone (920, 236-5050 /~/-]G 7 5 200J '~O/HKO/H
Pax (920) 236-5084
.v^c
All information after bold categ
ncomplete applioatio
· Application(s) ~d fee(s) can be brought to Ci~ Hail, Room 205 or miled to hspeotion Smites, PO Box 1128,
Oshkosh ~ 54903-1128. Co~encing work wi~out p~it(s) will result in fees ~ing doubled or $100.00 plus the
nomal pemit fee, which ev~ is ~eater.
OR
If you are a contractor participating in the Permit fee Account S~stem and have adequate funds, check here
if you want this ~rocessed through Four account
JOB ADDRESS ag,,gxO ~
CONTRACTOR O.b
cm:c [] Au, Ae 'UCABLE
USE CATEGORY
~ingle Family ~Duplex
F1Multi-Family FIRental
[] Commercial
[]Industrial
FUEL E1Gas []Electric F1Solid SYSTEM []New
[]Oil []Solar []Other
l~tReplace
TYPE
~Forced Air []Radiant I-1Steam []A/C []Vent []Electric []Hot
Water
[]Suppt.[]Con.
Burner
IS CHIMNEY BEING LINED ~)No []Yes - LINER SIZE
Note: All cbJmneys shall be siz, ed per the BTU's being vented.
. & MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
[]Chimney A
[]As Approved
[]As Per Plan
[]Chimney B
[]Existing
[]Variable
[]Direct Vent
FINot Applicable
[]Other Value
Other
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ /~,...c~.~O
ELECTRICAL CONTRACTOR OR [] Electric Installation Verification form attached(If Replacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors.
3/02