HomeMy WebLinkAbout0103855-HVACOSHKOSH
ON THE WATER
.lob Address 80 CHATEAU TER
Contractor TENTH STREET STATION INC
Fuel [~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Owner M & I MARSHALL & ILSLEY BANK
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
Forced Air I ~J Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO 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
L~ Solid
103855
09/02/2003
Other
Vent J
Use/Nature SFR/Install cold air return and vent bath fan.
of Work
Fees: Valuation
Issued By:
$260.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$20.00
Date 09/02/2003
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 924 OHIO STREET OSHKOSH WI 54902 -0 Telephone Number
236-8770
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.
FROM :TENTH STREET STATION, INC.
FAX NO. ;920-256-0150
S~. 0~ 200J 01:56PM P1
HVAc PERMIT APPLICATION
-~I/~'o~la~ion after bold categories m~st be pro~/ded.
· Incomplete application~ Will not be processed.
Oshkosh Wl(s) an 54903.1 tee(s) 128. can Corrancncing be brought to work CitYw/thout Hall Room permit(s) 205 .
normal Pg~n~t fee, w~ch ev~ is greater, wffi re~lt ~ feea being doubled or $100.00 plus the
ECATEGORY
ingle Family I'IDuplcx r'lMult~.Family ClRental rlCommercial ClI~dustrial
I~IJEL ~ r~Eleclric F1Solid SYSTEM EINew ll81t.~lace
FlOil . ~Solar O0~her
~tForced Air FIRadiant CJSteam mA/C OVent OElectrio
IS CHIMNEY BEliNG LI]~ED C~'qo O~s '- LD,~R SIZE.
Note: Ail chimncys sh~ll be s/zed per/he BTU S being vented.
CHIIVINEY TYPE rlChimney A CIChimney B rIDirect Vent
HEAT LOSS CIAs Approved C]Exist/ng [~R4ot Applicable
BTU RATE OAs Per Plan ~ I-IVariabIt [~]:Other Value
FIHot Water rlSuppl. CICon. Burner
' VA,L1.TE (]uehtding labor and aU materials including light fixtures) $ ~ - o~
CTmC L
[3 For applicable projects, an Electric Installation Verification £orm, s/gn~ by thc Electrical Contractor, must be
attached, ffnot attached or not applicable, a separate Electrical Permit is t~.quired.
s/o2