HomeMy WebLinkAbout0099293-HVACOSHKOSH
ON THE WATER
.lob Address 2749 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
99293
12/10/2002
Other
Vent J
Use/Nature NSFR/Install HVAC system in new home.
of Work
Fees: Valuation
Issued By:
$3,975.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$65.00
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
All information a£ter bold
· 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
I£vou are a contractor participating in the Permit tee Account System and have adequate funds, check here
if you want this processed through your account
DATE
JOB A DaZSS ¢ 7 q q u -o ,-,_
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
ingle Family
FUEL
[2Oil
TYPE
[]Duplex FiMuki-Family
IZlRenta!
~Conunercial I-IIndustrial
["lElectric []Solid SYSTEM ,[gFNew []Replace
IZISolar [2Other
orced Air [2Radiant IZlSteam []A/C [2Vent F1Electric F1Hot Water [2Suppl.[]Con. Burner
& MANUFACTURER
F1Direct Vent
[2Not Applicable
F1Other Value
[]Other
IS CHIMNEY BEING LINED l~qo I-IYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
[]Chimney A
~s Approved
~s Per Plan
t~Chimney B
F-lEx/sting
[]Variable
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DESCRIPTION' OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ ~i ~ ~'5~' ~ o o
ELECTRICAL CONTRACTOR ~Iv, e ~j>~ k~r~ OR ~ E~ ~nstaiiation Verification form aaached(IfR~acem~t)
ElectHc~t in,talk' .ion q~ ~/rep~aceme:zt equipment shall be done by licensed contractors.
3/02