HomeMy WebLinkAbout0098545-HVACOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
2782 HAMILTON ST
BAY AREA SERVICES INC
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Gas I
[] New
Owner
Category
CREATIVE CUSTOM HOMES & DEVELOP
500 - Residential-Heating & Ventilating
Oil I J~ Electric
[] Replace
Forced Air I ~_J Radiant
Electric J ~ Hot Water
Chimney Type ~ Chimney A O Chimney B
Heat Loss ~.~ As Approved O Existing
BTU Rate ~ As Per Plan (.~ Variable
Solar
No 98545
Create Date 09/24/2002
Plan
I J~lid l
[] Other J
~ Steam NC I
L~ Suppl. U Con. Burner J
Direct Vent ~ Not Applicable t
O Not Applicable J Value
~ Other J Value
[__J Vent
Use/Nature INSFPJ Install HVAC system for new home.
of Work
Fees: Valuation $4,655.00 Plan Approval $0.00 Permit Fee Paid $75.50
Issued By: Date 11/11/2002
[] Permit Voided J
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
dby 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 THE 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
if you want this processed through your account
1Z1Multi-Family
FqRental
CHECK [] ALL APPLICABLE
USE CATEGORY
l~mgle Family U1Duplex
FUEL .gas ZIElectric [ZISolid SYSTEM ..~'ew IZlReplace
VIOil IZlSolar F1Other
TYPE
J~lSorced Air I-'lRadiant UISteam IZIA/C nVent I-1Electric I-1Hot Water UISuppl.r"lCon. Burner
IS CHIMNEY BEING LINED.II~No I-lYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
[2]Chimney A
[]]As Approved
[2]As Per Plan
..l~himney B
U1Existing
r'lVariable
IZlDirect Vent
U1Not Applicable
[2]Other Value
BOther
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ qb ~' ~' ~
ELECTRICAL CONTRACTOR00/Pf~ f) ~[..~/q~7~j.}R U Electric Installatio- v '~- '
':y:a.~auOn form attached(If Replacement)
Electrical instahation of ~,.~. /rei.,la ceme,' e?uipment xlmll be done by licensed contractors.
3/02