HomeMy WebLinkAbout0098476-HVACOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No 98476
2955 W 9TH AVE Owner DEL TRITT CONSTRUCTION L Create Date 09/23/2002
G & B PRODUCTS Category 502- Residential-Both Plan
b~J Gas I L~ Oil I [] Electric 1 [] Solar 1 [] Solid 1
[] New I [] Replace I [] Other
[~ Radiant Steam I NC I
[~ Hot Water [] Suppl. 1 LJ Con. Burner I
~ Chimney B O Direct Vent ~ Not Applicable
~I Not Applicable
~1~ Other
~J Forced Air J I L-JVent l
Electric I I
Chimney Type ~ ChimneyA
Heat Loss ~.~ As Approved ~ Existing Value
BTU Rate ~ As Per Plan (,~ Variable Value
Use/Nature NSFR/New HVAC installation (furnace & a/c).
of Work
Fees: Valuation $4,650.00 Plan Approval $0.00 Permit Fee Paid $75.50
Issued By: Date 11/07/2002
[] Permit VoidedI
In the peffor rS'uant to rules governing the described construction.
Signature ~ ~" ' ~'"~/,/,/-'/'~"' ~"- '~" Date
~/'~ .~ ~ Agent/Owner
Address ~26 S MAIN ST OSHKOSH WI 54902 -6020 Telephone Number (920) 231-5699
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
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON TNE WATER
· 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
(f you want this processed through your account
CHECK [] ALL APPLICABLE
USE CATEGORY
~ingle Family I"iDuplex
I-IMulti-Family
F1Rental
Elcommercial
r'llndustrial
FUEL ,~Gas F1Electric F1Solid SYSTEM
mOil FiSolar
J3~New FIReplace
[3Other
TYPE
El~Eorced Air FiRadiant FiSteam EIA/C FiVent FiElectric
IS CHIMNEY BEING LINED~Xlo FIYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
Elliot Water F1Suppl.
& MANUFACTURER
EICon. Burner
CHIMNEY TYPE
HEAT LOSS
BTU RATE
himney A
s Approved
s Per Plan
~__~Chimey B
(~"xi sting
- F1Variable
[~lDirect Vent
FINot Applicable
F1Other Value
FlOther
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ ?~ T~ ~
ELECTRICAL CONTRACTOR /.~ ~e:A~AM& ~c~/-~27~c7~/~x
[] For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02