HomeMy WebLinkAbout0098498 HOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
2415 WISCONSIN ST
N A P MECHANICAL LLC
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner JEFF & VICKI BAUER
Category 500 - Residential-Heating & Ventilating
[] Gas I [] Oil 1 [] Electric
[] New I [] Replace
L~ Forced Air I ~ Radiant I ~1 Steam
[] Electric ] [] Hot Water 1 L~ Suppl.
Chimney Type ~.~ Chimney A ~ Chimney B
Heat Loss ~ As Approved ~ Existing
BTU Rate ~_~ As Per Plan ~ Variable
[~olar
I LJ A/C J
I [] Con. Burner
Direct Vent (_~ Not Applicable
0 Not Applicable
0 Other I
Value
Value
No
98498
Create Date 09/26/2002
Plan
[] Solid ]
[] Other I
Vent
Use/Nature ~IEW DUPLEX/Install new furnace, ducting, dryer vent, bath exh & gas piping.
of Work
Fees: Valuation
Issued By: ~
$7,100.00 Plan Approval $0.00 Permit Fee Paid
$111.50
Date 11/07/2002
[] Permit Voided J
In the performapce of this.~ _.w~, al~'~gr~p-~erform al~wo~ursuant to rules governing the described construction.
/ '~---r ...../"' Agent/Owner
Address 1740 MICHIGAN ST Oshkosh WI 54902 -0
Date //A
Telephone Number 303-1274
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 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
DATE
/
OWNER .~",q--,,%. £,~ d/~. !).c'~ ff'
CONTRACTOR G , a.e 'zY ./Am
CHECK El ALL APPLICABLE
USE CATEGORY
Single Family /~Duplex
[]Multi-Family
[]Rental []Commercial []Industrial
FUEL ,]~'Gas F1Electric F'ISolid SYSTEM []New
FIReplace
[]Oil [] Solar []Other
TYPE
Forced Air []Radiant []Steam [A/C []Vent []Electric
IS CHIMNEY BEING LIN D,i~o []Yes - LINER SIZE
Note: All chimneys shall be sized p~r the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
[]Hot Water []Suppl.
& MANUFACTURER
F1Chimney A
EIAs Approved
i-lAs Per Plan
F1Chimney B
F1Existing
F1Variable
,~irect Vent
[]Not Applicable
[]Other Value
[]Other
[]Con. Burner
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ '~./DO, O~
ELECTRICAL CONTRACTOR
[] For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit ~s required.
9/02