HomeMy WebLinkAbout0099429-HVACOSHKOSH
ON THE WATER
.lob Address 2731 HAMILTON ST
Contractor BAY AREA SERVICES INC
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner CREATIVE CUSTOM HOMES
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA O Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
99429
12/10/2002
Other
Vent J
Use/Nature NSFR/ Install HVAC system in new home.
of Work
Fees: Valuation
Issued By:
$4,315.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$71.00
Date 01/13/2003
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
920-435-7111
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
REC D
HVAG
PERMIT
APPLICATIO~N DEPARTMENT OF
All information after bold categories must be pro ide~L~,
Incomplete applications will not be processed. ~q~q~¥~q'{~¥ DEVELOPMENT
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 Pe~Cmit fee Account System and have adequate_funds, check here
if you want this processed through your account
JOB aDDm~SS 2 -7 ~ / ~/q/97/£ 7-0/6/
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
[~ingle Fm~ly ~Duplex
~IMulti-Family
I-1Rental rSCommerciai Viindustrial
FUEL l~Gas [3Electric [3Solid SYSTEM
FIOil []Solar []Other
F-lReplace
TYPE
l~orced Air ElRadiant F1Steam F1A/C F1Vent []Electric F1Hot Water []Suppl.l-lCon. Burner
IS CHIMNEY BEING LINED ]~qo r-lYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
[]Chimney A
r-lAs Approved
[]As Per Plan
l~!~'Chimney B
[3Existing
[]Variable
[]Direct Vent
r']Not Applicable
[]Other Value
[]Other
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ t._/
ELECTRICAL CONTRACTOR[//9/[(~.~/qT ~C/bR [] Electric Installation Verificati,.z fgrm ~a~.hed(!r~eplacemcn;'
Electrical installation of new~replacement equipment shall be done oy licet, zed co,,r, oor.*.
3/02