HomeMy WebLinkAbout0099430-HVACOSHKOSH
ON THE WATER
.lob Address 3730 PURPLE CREST DR
Contractor AMERICAN HEATING & A C CO
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner DEWEY HOMES
Category 502- Residential-Both
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
99430
11/11/2002
Other
Vent J
75m
Use/Nature NSFR/ Install 75m btu furnace and 24m btu central a/c.
of Work
Fees: Valuation
Issued By:
$4,500.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$72.50
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 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
RECEIVED
DEPARTMENT OF r--,n ,/r-',
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will 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 WI. 54903-I 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
lf ¥ou are a contractor participatiqg in the Permit fee Account SYstem and have adequate funds, check here
if you want this processed through your account
CHECK [] ALL APPLICABLE
gE CATEGORY
ingle Family I-1Duplex F-1Multi-Family IDRental
I-ICommercial
Ellndustrial
FUEL ~Qas [3Electric [3Solid SYSTEM '~ew [3Replace
[3Oil I-1Solar I--IOther
.TYPE
~](orced Air [3Radiant F1Steam ~/C l-IVent [3Electric [3Hot Water [3Suppl. FqCon. Burner
IS CHIMNEY BEING LINED'~Io [3Yes - LINER SIZE & MANUFACTURER
Note: Ail chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE [3Chimney A '~himney B
HEAT LOSS I-IAs Approved F1Existing
BTU RATE I-IAs Per Plan [3Variable
.,Direct Vent [3Other
ot Applicable
ther Value ./'/5 7dr d
DESCRIPTION OF ALL WORK BEING DONE .2.~ ]Lq.j/
VALUE (Including labor and all materials including light fixtures) $
ELECTRICAL CONTRACTOR
O~ [] Electric Installation Verification form attached(If Replacement)
Electrical installation of new~replacement equipment shall be done by licensed contractors.
3~02