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HomeMy WebLinkAbout0098645-HVACOSHKOSH ON THE WATER Job Address Contractor Fuel System 2795 HAMILTON ST BAY AREA SERVICES INC CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD Gas I ] New Forced Air Electric Chimney Type ~ ChimneyA Heat Loss ~.~ As Approved BTU Rate ~ As Per Plan ~ Oil b~ Radiant Ed Hot Water Owner CREATIVE CUSTOM HOMES Category 500 - Residential-Heating & Ventilating LJ Electdc [] Replace Chimney B ~ Direct Vent Existing Variable L~ solar Steam I LI Nc Suppl. (...) Not Applicable J Not Applicable J Other Value Value No 98645 Create Date 09/24/2002 Plan I [] Solid ] [] Other I Vent J Use/Nature NSFPJ Install HVAC system in new home. of Work Fees: Valuation $3,755.00 Plan Approval $0.00 Permit Fee Paid Issued By: [] 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 $62.00 Date 11/14/2002 920-435-7111 City o~f Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5054 RECEIVED NOV 1 O./HKOJH HVAC PERMIT AP E~(~~i~t1Ev'T 0F ON TME WATER ~n in~o~do~ =ftc= void ~mo=~~=~=ma.ELOPMENT I~compIcte a~]Jcado~ wfl] ~ot be ~ocesscd. 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 (f.vou want this processed throu.gh your account [-] Jog nDDR~SS OWNER CONTRACTOR DATE CHECK l~l ALL APPLICABLE USE CATEGORY l~Single Family F1Duplex F1Multi-Family F-1Rent,al [3Commercial Fllndustrial FUEL .1~23a s F1Etectric FISolid SYSTEM ..l~Xlew FIReplace FIOil FISolar EIOther TYPE "~orced Air FIRadiant IEISteam FIA/C F1Vent F1Electric F1Hot Water F1Suppl. F1Con. Burner IS CHIMNEY BEING LINED~N!o ElYes - LINER SIZE Note: All chimneys shall be sized pe~ the BTU's being vented. & MANUFACTURER CI-11MNEY TYPE F1Chimney A ]~hirnney B HEAT LOSS ..... ~s,~pproved [2]Existing BTU RATE F1As Per Plan F1Variable FlDirect Vent F1Other F1Not Applicable F1Other Value · ~:,:'~' ~:'~ ¥'-'%' DESCRIPTION OF ALL' WORK BEING DONE VALUE (Including labor and all materials including light fixtures) $ 3 '7 ~ ~", ~ El ,ECT~CAI C©NTRACTOR/Oq//4~'D~L~'~7" OR [] Electric Installation Verification form att. ached('.f Electrical installation of new/replacement equt)vment shall be done by licensed contracto~. 3/02