HomeMy WebLinkAbout0099292-HVACOSHKOSH
ON THE WATER
.lob Address 2739 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
99292
12/10/2002
Other
Vent J
Use/Nature NSFR/ Install HVAC system in new home.
of Work
Fees: Valuation
Issued By:
$4,335.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$71.00
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 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
information after bold ca[egories must be provided.
Incomplete applications 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. Commencing 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 Account System and have adequate funds, check here
if you want this processed through your account
CHECK [] ALL APPLICABLE
USE CATEGORY
~gEgingle Family I-qDuplex
[]Multi-F~ily
ElRental [2lC0mmercial Ulindustriai
FUEL J~Gas UIElectric VISolid SYSTEM
F1Oil [-ISolar FIOther
EIReplace
TYPE
~Forced Air ElRadiant [2]Steam EIA/C I-1Vent EIElectric F1Hot Water ElSuppl. F1Con. Burner
IS CHIMNEY BEING LINED~No I-lYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE EIChimney A ~Chimney B IEIDirect Vent I2]Other
HEAT LOSS ,t~As Approved E1Existing DNot Applicable
BTU RATE ~tAs Per Plan [2]Variable l-lOther Value
DESCRIPTION OF ALL WORK BEING DONE ~O-O Ao~-t-~.. ~J~C ~.~re~t.
VALUE (Including labor and all materials including !igb. t fixtures) $ '~ t{t ,.~ -~-~'~. O-c>
ELECTRICAL CONTRACTOR/~0~5~ ~eL..co~g'-OR 7~ Electric Installation Verification form attached(IrReplacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors.
91.oo
3/02