HomeMy WebLinkAbout0099230-HVAC (heat runs/returns)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
635 W 5TH AVE
AMERICAN HEATING & A C CO
No
99230
Gas I
[] New
Forced Air I
Electric
Chimney Type ~) Chimney A
Heat Loss ~) As Approved
BTU Rate ~ As Per Plan
U Oil
[~ Radiant
~ Hot Water
Chimney B
Owner SHARON R LENTZ
Category 500 - Residential-Heating & Ventilating
~ Electric I ~J Solar
[] Replace I
L-J Steam I
J~ Suppl. I
(.~ Direct Vent ~l Not Applicable
~I Not Applicable J
~l Other J
Existing
Variable
Create Date 12/30/2002
Plan
I ~1 Solid I
[] Other I
[_1 NC J
Con. Burner J
Value
Value
Vent J
Use/Nature SFPJ Add 2 heat runs and I return.
of Work
Fees: Valuation $400.00 Plan Approval $0.00 Permit Fee Paid
Issued By:
[] Permit Voided J
$20.00
Date 12/30/2002
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 - 6437 Telephone Number
(920)235-8090
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
All ~omfion after bold cate~h~ provided.
Inco~lete applicafiom Mll not be processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh Wl 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
CHECK [] ALL APPLICABLE
CATEGORY
ngle Family FIDuplex IZIMulti-Family IZIRental
[]Commercial
Fllndustrial
FUEL ~ [2Electric F1Solid SYSTEM
F1Oil []Solar
ed Air [2Radiant F1Steam F1A/C [2]Vent [2Electric
IS CHIMNEY BEING LINED o F1Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
FINew FIReplace
[]Hot Water [:]Suppl. []Con. Burner
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
[]Chimney A
[]As Approved
[]As Per Plan
[]Chimney B []Direct Vent []Other
[]Existing [2Not Applicable
FIVariable EIOther Value
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $
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 is required.
/ "/" 9/02