HomeMy WebLinkAbout0098459-HVAC (a/c)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
90 FARMSTEAD LN
TENTH STREET STATION INC
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
98459
M Gas t ~ Oil
[] New I
[_J Forced Air j L~ Radiant
b~ Electric I Dot Water
Chimney Type ~ Chimney A ~ Chimney B
Heat Loss ~ As Approved ~ Existing
BTU Rate ~..~ As Per Plan ~ Vadable
BRYAN W/SUSAN E HOCHSTEIN
501 - Residential-Air Conditioning
Owner
Category
L~J Electric I bi Solar I b~ Solid
[] Replace I [] Other
LI Steam I L~J NC I L--I Vent
M Suppl. I L~ Con. Burner I
~.~ Direct Vent ~I Not Applicable I
O Not Applicable I Value
O Other I Value
Create Date 11/06/2002
Plan
2.5 ton
Use/Nature
of Work
fFPJ Install new a/c. *EIV form from Drexler Electric.
Fees: Valuation
Issued By:
$1,500.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 924 OHIO STREET OSHKOSH WI 54902 - 0 Telephone Number
$27.50
Date 11/06/2002
236-8770
Cit7 of Oshkosh
Division of Inspection $~viccs
P.O. Box 1130
Oshkosh, WI 54903-I 130
Phone (920) 236-5050
Fax (920) 236-$084
HVAC PERMIT APPLICATION
All i~formafion alter bold cltegories must be provided,
Im:ompleg applications will not 1~ processed.
Application(s) and fca(s) can be brought to City Hall, Room 2015 or mailed to Inspection Services, PO
Oshkosh WI 54903-1128. Co~cing work without permit(s) will result in fees b~mg doubled or ~.
iib~il permit fee, which ever is greater.
OR
ff v'oF. ore o contractor Participating in the P_er_mit f¢~_/ic_¢o~ot System and kave &dequate fu,,;
!fl, Ou want this processed tkrough V. our account ~
FURL [~Gas ~{]tEl¢~tric VlSolid SYg~M [}~xlew ~Replace
EIOil ElSolar IDOther
TYPE
171Forced Air [3Radiant VISteam ~TA/C l~lVe~t ~Elcctric
I5 CIIIMNEY B~ING LINED ~o
Nora: ~1 chi~eys s~H beard p~ ~e B~'s ~ venmd.
C~M~Y ~E~/~~ A O~i~ey B ~rect V~t ~0~
~AT LOSS ~As A~oved ~Existing ~Not A~Iicable
BTU ~ ~As P~ Plan ~Vafiable
IZIHot Water I"lSuppt. ElCo::.
& MANUFA~
VALUE (Including labor and all materials including light fixture0 $/~'~0 · rO
~FFor apglieable proj~ls, an Electric InsVallation Verification form, signed b~'the l?etfieal Contr;..
attached, Ii'not attached or not appli~able~ a separate Electrical Permit is required.
~,.'02
Electric Installatio t Verification
(Electrical Con~ractor Name) ..... '
7 ..........
(Address) (Ci~) (State) (Zip Code)
haw been con~ac~ to pe~o~ elec~c ~alla~on w~ fo~~~ ~~
CN~e of~y ~ff~ted to)
at the follo~g ~ess: ~O ~~ ~ .~
(Address wh~e work ~ll ~
T~ ~mre of the work comists of: (~eck ~c or D~cn~ ~e NaCre of Work)
E~e~on or new circuit for ~l~ent Heat~g Pl~t ~or ~C Condenser.
R~o~tion or new c~uit for r~lacem~ El~t~c Water Heat~ or power v~tcd
wat~ heat~.
R~o~ecfion of~e Sc~i~ En~cc C~Ie, Met~ Box, ~terations to receptacl~
~d li~ang ~ea dae to sid~g / soffit ~st~a~on. Note: N~ S~ce
En~ce Cabl~ will r~re a s~ate pe~it.
~ R~ec~on or n~ c~t for ~e r~lae~t of o~ pe~tly ~d
appli~ccs / fix~.
N~ circuit for ~e addition of ~C to ~ tndi~d~l ~elling unit ~ouse or thc
in&~dual syst~ in a duplex or condomim~), ~clu~g r~uired se~icc
' clcc~c~ Ouflc~.
O~
I hereby verify this work will bo performed by an employee of this company and furthcr verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
~'~Uiremeats.
(Signatlhre of C~mp~y Officer)
(Print Name of Officer) (Date)
5/02