HomeMy WebLinkAbout0098855-HVACOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
2789 HAMILTON ST
BAY AREA SERVICES INC
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Gas I
[] New
Forced Air
Electric
Chimney Type ~_~ ChimneyA
Heat Loss ~.~ As Approved
BTU Rate ~ As Per Plan
Owner CREATIVE CUSTOM HOMES & DEVELOP
Category 500 - Residential-Heating & Ventilating
Oil I ~ Electdc I ~ Solar
[] Replace I
Radiant
Hot Water
No 98855
Create Date 09/24/2002
Plan
I~ Solid
[] Other
Steam I L-J NC
Suppl. I [~-C~n. Burner
Chimney B (.~ Direct Vent ~ Not Applicable I
(.~ Existing ~I Not Applicable t Value
~ Variable ~ Other I Value
bJ Vent
Use/Nature ~qSFPJ Install HVAC system in new home.
of Work
,
Fees: Valuation
,ssued.,:
$4,090.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided J
$66.50
Date 12/02/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 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
O/HKO/H
ON THE WATER
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 54903-1128. 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
(['you want this processed through your account [-~
DEC 0 2 2002
DEPARTMENT OF
COMMUNITY DEVELOPMENT
CHECK [] ALL APPLICABLE
USE CATEGORY
12~ingle Family V1Duplex
lZlMulti-Family
IZIRental IZICommercial IZllndustrial
FUEL ~[Gas Z1Electric ZlSolid SYSTEM l~t2qew IZlReplace
F1Oil CISolar []Other
ced Air F1Radiant F1Steam IZIA/C DVent F1Electric F1Hot Water IZlSuppl. U1Con. Burner
IS CHIMNEY BEING LINED.~o I-lYes - LINER SIZE
Note: All chimneys shall be sized per. the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
[]Chimney A
IZlAs Approved
[2IAs Per Plan
.~i[Chimney B
[]Existing
[]Variable
& MANLrFAC~R
[]Direct Vent
[3Not Applicable
[2]Other Value
VlOther
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials incluoing light fixtures) $ 1~ O C/O, OmO
ELECTRICAL CONTRACTOR/O [~ 0 ~.5/t~(T'OR 2 Electric installa*.ion Verification form att~ohefl(ifReptaceme~t)
Electrical installatiot~ of new/replacement equipment shall be doee by licer, xed contractors.
3/02