HomeMy WebLinkAbout0098544-HVACOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
Chimney Type
Heat Loss
BTU Rate
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
2772 HAMILTON ST
BAY AREA SERVICES INC
Gas I
[] New
Forced Air
Electric
Chimney A
As Approved
As Per Plan
Owner
Category
THOMAS N RUSCH
500 - Residential-Heating & Ventilating
~ Oil I b~ Electric
I [] Replace
[~ Radiant j L--J Steam
LJ Hot Water t LJ Suppl.
Solar
Chimney B ~ Direct Vent ~ Not Applicable
~ Existing O Not Applicable
(.~ Variable ~I Other
No
98544
Create Date 07/17/2002
Plan
[] Other
k~ A/C I L--J Vent
LJ Con. Burner I
Value 0
Value
Use/Nature
of Work
INSFPJ Install HVAC system for new home.
Fees: Valuation $4,215.00 Plan Approval $0.00 Permit Fee Paid
Issued By:
[] Permit Voided I
$69.50
Date 11/11/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 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, 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 TH~ 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 participatin~ in the Permit fee Account System and have adequate £undsl check here
if you want this processed throu~(h your account [~
OWNER
CONTRACTOR
mMulti-Fmnily
ClRental
CHECK IZ ALL APPLICABLE
USE CATEGORY
~ingle Family F1Duplex
FUEL E~as [3Electric [3Solid SYSTEM j~qlew IDReplace
mOil mSolar [3Other
TYPE
~Forced Air F1Radiant [2]Steam [3A/C [3Vent [3Electric nHot Water nSuppl.[3Con. Burner
IS CHIMNEY BEING LINED J~'L",To [2lYes - LINER SIZE
Note: All chinmeys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE [2Chimney A
HEAT LOSS . ~ ~[3As Approved
~9~.: ' * ~ %/~.~ ·
BTU RATE .... [3As Per Plan
~"Chimney B [3Direct Vent
[3ExiSting ? [3Not Applicable
r'lVariable [3Other Value
mOther
DEscRIPTION OF ALL W6RK BEING DONE
VALUE (Including labor and ali materials including light fixtures) 5 t'/_~2- ! ~- ~
ELECTRICAL CCNTRACTOR/0//"(~' D ~'g-~O~ .t)R _~ Electric Installation Verification form attached(If Replacement)
Elec'ricd ins~..Tqation of new/replacement equipment shall be done by licensed contractors.
3/02