HomeMy WebLinkAbout0099294-HVACOSHKOSH
ON THE WATER
.lob Address 2721 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
99294
12/10/2002
Other
Vent J
Use/Nature NSFR/Install HVAC system in new home.
of Work
Fees: Valuation
Issued By:
$3,675.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$60.50
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, Wt $4903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT AP J ¢,A 'ION
All information after bold categories~ - 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 $100.00 plus the
normal permit fee, which ever is ~eater.
OR
If you are a contractor participating in the Permit fee Account SYstem and have adequate' fundsl check here
if you want this orocessed through your account [~ "
CONTRACTOR ~Z)c~ /Jo r~c, ~e,'-~,~e ~
DATE
CHECK IE ALL APPLICABLE
USE CATEGORY
[~ingte Family ~Duplex
[]Multi-Family
FIRenta! []Commercial []Industrial
FUEL 'llS~as [Electric V1Solid SYSTEM JKlNew tZlReplace
V1Oil []Solar [Other
TYPE
~il~orced Air V1Radiant V1Steam I'-IA/C I-IVent ViElectric VIHot Water V1Suppl. V1Con. Burner
IS Ct:[IMNEY BErG LIN-ED t~No F'lYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
C~Y TYPE VlChimney A [~Chinmey B VlDirect Vent V1Other
HEAT LOSS .ms Approved VlExisting VINot Applicable
BTU RATE ~.As Per Plan VlVariable VIOther Value
DESCRIPTION' OF ~LL WORK BEING DONE ?l,)e.~ 4o--,-,~. ~-{ 0 ~ (~
VALUE (Including labor and all materials including light fixtures) _$ % ~ ~ ~-, OO
ELECTRICAL CONTRACTOR /('t:~.e ~>co L~arT OR ':.2 ElertH~ !x=iaiiation VerhScadon form attaCh'ed(IfR~iacemeat~
£1ectric',t insta ?. .. on of t~,'?ep [acemem equipment shall be done by iicensed contractors.
3/02