HomeMy WebLinkAbout0098701 HOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
824 SCOTT AVE
TENTH STREET STATION INC
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
98701
Gas [
[] New
Forced Air
Radiant
Electric I ~j Hot Water
Owner LEE J TRITT
Category 500 ~ Residential-Heating & Ventilating
U Electric
[] Replace
L_I Steam
[] Solar
Create Date 11/15/2002
Plan
1 ~ Solid I
[] Other I
~ NC I
Vent j
Chimney Type ~ ChimneyA O Chimney B
Heat Loss ~ As Approved ~1~ Existing
BTU Rate ~ As Per Plan ¢_~ Variable
I I Suppl. I L~ Con. Bumer I
Direct Vent O Not Applicable I
¢.~ Not Applicable j Value
~I Other J Value
130m
Use/Nature
of Work
FFR/Replace boiler. *EIV form from Drexler Electric.
Fees: Valuation
Issued By:
$2,700.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided
$45.50
Date 11/19/2002
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
,il,/14/2002 21:20 9202368150 TENTHSTREETSTATION PAGE 01
Cii~ of Oslflcosh
Division of Inspection Services
P.O. Box ! 130
Oshkosh, WI 54903.1130
l~ho~e (920) 236-5050
Fax (920) 256-$084
HVAC PERMIT APPLICATION
All/nformation after bold cat~gories trois! bc provided.
l~completc applications will not be processed.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to inspection Servi.: -'.
Oshkosh WI 54903-1128. Comm~ncin$ work without permit(s) will result in fees being doui '. '
normal permit fee, which ever is greater.
OR
[f you are tr contractor vartict~atfntt ~n the permftn~_ee Account System and hav, g,bdeaua %
if you want this proce_s~ed through Togr account ~ '
RECEIVED
NOV 1 2002
CHECK I~ ALL APPLICABLE
USE CATEGORY
E~f;ingle Family ElDuplex
[3Multi-Family [3Rental
DEPARTMENT OF
OOMMIJI I y DEVELOPMENT
DCommercial
FUEL l~[Gas I"lEle~Uic nSolid SYSTEM EIN~w
F1Oil rlSolar nother
TYPE
ElForced Air E3Radiant ElSteam OA/C ElVent .~Electric ~i]I-Iot Water OSuppl. L-.
IS CHIMNEY BEING LINED [3No VIyes - LINER SIZE & MANUFA~R.__,
Not~: All chinmcys shall be sized pet ~e BTU'$ beilxg vented,
CHIMNEY TYPE ElChimncy A ~Cbi~cy B ~Dkect Vent ~Oth~
~AT LOSS ~As A~v~ ~isting ~Not A~licable
BTU ~TE ~ Per PI~ ~Vafiable ~Other Value ~ ~ ~D
VALUE (Including labor and all materials lad.ding light fixtures) ~ 7.-'700, O0 F~-~: ,,~i,¢~'...~
~1 For applicable projects, ar~Ele~'tric Instaliati~n Verification form, signed by the Electrical C
attached. If not attached or not applicable, a separate Electrical Pea,fit is required.
>114'14/2002 21:20 9202360150
TENTHSTREETSTAT!ON
PAGE
Electric Installation Yerlflcntlon
(Xd*~) (City) (Stare) (Zip Code)
~e ofp~y conir~tcd to)
Thc na~ of thc wo~ c~sists o~: (Chc~ ~c or Descgbc ~c Naturc of Work)
........ R~~n or ~ ci~uit rot ~l~c~t ~c~c Wat.r Hoat~ or ~wer
___ R~o~on of~ S~ice En~ Cabk, Met~ ~x. alt~tions to r~cp?~i~
apph~es t
__ N~ circuit ~r the ~diti~ of ~C Io ~ i~.ai d~lli~g urn: ~ouse or C~
'File v~ue orthis work is S
I h~reby verify t~ work MIl
the r~on~ti~ / i~lgJation will bc done
Name
(Dute)