HomeMy WebLinkAbout0098455-HVAC (space heater)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
Chimney Type
Heat Loss
BTU Rate
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
823 GROVE ST
TENTH STREET STATION INC
L~ Gas I
Owner
Category
DANIEL A DENNIN
500 - Residential-Heating & Ventilating
[] New J
~] Forced Air J
Electric J
Oil J ~ Electric
[] Replace
Radiant j ~ Steam
Hot Water J L~J Suppl.
]~ Solar
L__I NC
[] Con. Burner
Chimney A O Chimney B O Direct Vent O Not Applicable J
As Approved ~11 Existing ~ Not Applicable I Value
As Per Plan ~ Variable ~ Other I Va~ue
No
98455
Create Date 11/06/2002
Plan
II Solid
[] Other
I I~ Vent I
15m
Use/Nature
of Work
IFR/Replace 15m btu direct vent space heater. Unit is millivolt powered so no electrical work was needed.
Fees: Valuation
Issued By:
$984,00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided J
$20,00
Date 11/06/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 924 OHIO STREET OSHKOSH WI 54902 -0 Telephone Number
236-8770
City o[ OsKkostt
Division of Inspection
P.O. ~ox 1130
O~osh, W[ ~49034 130
~oe (920)
Fax (920) 2~6-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incompl¢~ applications will not bc proccss~d.
Ot~ t
· Application(s) ~d fee(s) can be bought to City Hall, Room 205 or mailed to l~spection Services, ."
Oshkosh WI 54903-I 128. Commencing work without permit(s) will result in fees being doubled c
normal permit fee, which ever is greater.
OR
[f~o~t.ore a contractor particil~atlne ia the Permit fee .4ccount System and.have bdeouage f: ':
DATE
,lOB ADDRESS .~ Z'~ ~.~o~e- S~,
CHE~ El ALL APPLICABLE
USE CATEGORY
i~Single Family DDuplcx
UMulti-Farnily ClRental rlCommercia/ Oln.":
FUEL [~Oss EIElectric DSolid SYSTEM rlNew I~lReplac.
DOil ~golar OOtber ..
TYPE
ClForced Air DRadiant ClSteam I-IA/C r'lVent D£1eetric DHot Water I~Suppl. CIC
IS ~ BEING LINED Ciilqo E3Ycs - LINER SIZ~,
· Note: All chimueys shall be, sizd per the BTU's being vented.
VALUE (Including labor and all nmterial$ including light llxturts) $
ELECTRICAL CONTRACTOR ,/~/'~'*'~""
CItlMNE¥ Tgi'F. riChimnty A ClChimney B gDirect ¥~t l'lOther
HEAT LOSS CIAs Approved I]ll~xisting rlNot Applicable
BTU BATE CIAs Per Plan CIVariablc ClOthcr Value I,~/ooo _
z,zscmrno~ or ,ut, woex szINc ~ot, a: ,/~,,~x,,.- /£¢~:,_. ~,f..,/~ .. ~/,,,'--¢ . .,,~_
no ,...,-,,
O~
D For applicable projects, an ~lcctric Installation V~rifiution form, signed by th~ Electrical Co.~t
attached. If not attached or not applicable, a separate Electrical Pei~it is ~quired.