HomeMy WebLinkAbout0099291-HVACOSHKOSH
ON THE WATER
.lob Address 2759 HAMILTON ST
Contractor BAY AREA SERVICES INC
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner CREATIVE CUSTOM HOMES & DEVELOP
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA O Chimney B
Heat Loss IO As Approved ~ Existing
BTU Rate IO As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
99291
10/14/2002
Other
Vent J
Use/Nature NSFR/Install HVAC system in new home.
of Work
Fees: Valuation
Issued By:
$4,635.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$75.50
Date 01/03/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1449 S BROADWAY GREEN BAY WI 54304 -0
Telephone Number
920-435-7111
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-I 130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT
All infomtion afmr bold catego~,~}~rovidea.
Incomplete appliCafi°~ Mll n~t be processed.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspect/on Services, PO Box t 128,
Oshkosh WI 54903-1 t28. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is geater.
OR
if you are a contractor participating in the Permit fee Account System and have adequate funds, check her~
if you want this processed through your account ~
cIq"ECK [] ALL APPLICABLE
~SE CATEGORY
gingle Family ~Duplex
l-qMulri-Family
[]Renta! [] Commercial []Industri al
FUEL 'lS~as FlElectfic U1Solid SYSTEM ,lglNew
UtOiI [-1Solar UlOther
FIReplace
TYPE
~l~orced Air FIRadiant FISteam FIA/C FIVent FIElectric FIHot Water FISuppl.l-ICon. Burner
IS C]:tlM/N'EY BEE'qG LINED l~'No RYes - LINER SIZE & MA_NUFACTURER
Note: All ckimneys shall be sized pe~ the BTU's being vented.
CHIMxNEY TYPE F'lChimney A [E~Chirrmey B [2]Direct Vent r-lOther
I=IEAT LOSS ~s Approved F'lExisting V1Not Applicable
BTU' RATE /~.As Per Plan UtVariable [2]Other Value
scva mo ' OF 44 .. O e
VALUE (Including labor and all materials inctudin7 light fixtures) $ q, /_o ..~'3~-~.D iQ
ELECTRICAL CONTRACTOR :¢.e '~ L ~'c, rw OR -= Electr~ _'-_':z:aiiation Verification form attached(IfRevtacement
~'2ectrir',t inst,:;:: ..on or ~,nv/reptaceme~t equipment xhali be done by licenxed c g:uracrorx.
~ ~...¢"-, 5--0
3/02