HomeMy WebLinkAbout2002-HVAC.(,~i~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3810 PURPLE CREST DR Owner DEWEY HOMES INC
Contractor AMERICAN HEATING & A C CO Category 500 - Residential-Heating & Ventilating
Fuel ~ Gas I ~J Oil L' Electric I [~ Solar
System [] New I [] Replace I
~J Forced Air I ~j Radiant [__J Steam j ~j NC
[~ Electric I [~ Hot Water U Suppl. I ~-~on. Bumer
Chimney Type ~.~ Chimney A O Chimney a O Direct Vent ~ Not Applicable I
Heat Loss ~ As Approved ~ Existing ~11 Not Applicable I Value
BTU Rate ~ As Per Plan ~.~ Variable ~ Other I Value 75m
No
Create Date
Plan
L~ Solid
[] Other
~J Vent
98607
08/06/2002
Use/Nature NSFPJ Install furnace & air to air exchange.
of Work
Fees: Valuation $4,300.00 Plan Approval
Issued By:
$0.00 Permit Fee Paid
[] Permit Voided
$69.50
Date 11/13/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent~Owner
Address 1129 MICHIGAN AVE OSHKOSH WI 54902 -5437 Telephone Number
(920)235-8090
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh. WI 54903-I 130
Phone (920) 236-5050
Fax (920) 236-5084
All info~tion alter bold categories must be prov~&~
Incomplete applications will not be processed.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Semites, PO Box 1128,
Oshkosh WI. 54903-1128. Commencing work without pe~it(s) will result in fees being doubled or $100.00 plus the
no~al pe~it fee, which ever is ~eater.
OR
If Vou are a contractor participating ~n the Permit fee Account S~,stem and have adequate funds, check here
if you want this processed throu~kvour account ~
CHECK [] ALL APPLICABLE
CATEGORY
ngle Family I'-lDuplex l--1Multi-Family F1Rental
F'lCommercial
[2]Industrial
FUEL "~as UlElectric IZISolid SYSTEM /~New IDReplace
I-1Oil [] Solar IDOther
TYPE
rcedAir F1Radiant F1Steam []A/C IZIVent F1Electric F1Hot Water [2]Suppl. F1Con. Burner
IS CHIMNEY BEING LINED~lx~o DYes - LINER SIZE__
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CItlMNEY TYPE []Chimney A '~himney B []Direct Vent FIOther
HEAT LOSS I-lAs Approved J-lExisting IZlNot Applicable
BTU RATE l-lAs Per Plan []Variable ~ffkOther Value
DESCRIPTION OF ALL WORK BEING DONE ~'~// ~,'~.~_ .
VALUE (Including labor and all materials including light fixtures)
ELECTRICAL CONTRACTOR
OR ~] Electric Installation Verification form attached(If Replacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors.
3/02