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HomeMy WebLinkAbout0098753-HVAC (furnace & a/c)OSHKOSH ON THE WATER Job Address Contractor Fuel System CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD 349 BOWEN ST GARTMAN MECHANICAL SERVICES ~ Gas I ~1 Oil [] New I ~_~ Forced Air I [_J Radiant ~J Electric { ~J Hot Water Owner ALAN L/KAY M STENERSON Category 502 - Residential-Both I~ Electric [] Replace b-J Steam ~ Suppl. Chimney Type ~ Chimney A ~ Chimney B ~ Direct Vent ~1~ Not Applicable Heat Loss ~) As Approved C.~ Existing O Not Applicable I Value BTU Rate ~) As Per Plan fi_~ Variable ~1~ Other I Value No 98753 Create Date 11/21/2002 Plan Solar I ~0~d [] Other NC I b-J vent Con. Burner I Use/Nature SFR/Replace furnace and a/c system along with require ducting. of Work Fees: Valuation $5,920.00 Plan Approval $0.00 Permit Fee Paid $95.00 Issued By: : Date 11/21/2002 [] Permit Voided In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date AgentJOwner Address 520 W SO PARK AVE PO BOX 2264~ OSHKOSH WI 54903 - 2264 Telephone Number (920) 231-5530 RECEIVED City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 NOV £ i 2002 DEPARTMENT Of COI ,' MUNITY DEVELOPMENT HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications w. ill not be processed. OffHKOJ'H ON THE WATER · Application(s) and fee(s) can be brought to Cit~ 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 Acc.ount System and hqve adc. quote_funds check here [f i'ou want th. is. processed throu, gb_y_o_ur account [~ JOB ADDRESS CONTRACTOR CIIECK [] ALL APPLICABLE USE CATEGORY ~(Single Family I-IDuplex [3Multi-Family V1Rental [3Commercial I-IIndustrial FUEL ~)(Gas EIElectric []Solid SYSTEM [3New ~l~eplaoe []Oil [] Solar []Other ryPE [~Forced Air I-IRadiant IDSteam C I--IVent EIElectric IS CIIIMNEY BEING LINED FINo []Yes - LINER SIZE Note: All chinmeys shall be sized per the BTU's being vented. V1Hot Water FISuppl. I-ICon. Burner & MANUFACTURER CHIMNEY TYPE F1Chimney A []Chimney B []Direct Vent []Other HEAT LOSS FlAs Approved [3Existing FINot Applicable BTU RATE FIAs Per Plan [3Variable [3Other Value DESCRIPTION OF ALL WORK BEING DONE(~ ~0.2~L-) ~ ~ VALUE (Including labor and all materials including light fixtures) ~_ ELECTRICAL CONTRACTOR ~ ~-~ ~.~-24'~)-~.~~ ~ For applicable projects, an ~lec~ic ~stallafion Vefificaf~, si~ by the Elec~cal Con,actor, must be a~ached. If not a~ached or not applicable, a separate Elec~cal Pe~it is required. 9/02