HomeMy WebLinkAbout0098856-HVACOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
2790 HAMILTON ST
BAY AREA SERVICES INC
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Gas I [] oil
[] New
L~J Forced Air I ~_J Radiant
[] Electric 1 L~ Hot Water
Chimney Type O ChimneyA ~I Chimney B
Heat Loss ~ As Approved ~ Existing
BTU Rate ~ As Per Plan O Vadable
Owner
Category
CREATIVE CUSTOM HOMES & DEVELOP
500 - Residential-Heating & Ventilating
[] Electric
[] Replace
[] Solar
L-J Steam L--J NC
~j Suppl. ~- Con. Burner
Direct Vent O Not Applicable I
O Not Applicable t Value
~11 Other I ValUe
No
98856
Create Date 09/24/2002
Plan
[] Other
Vent
Use/Nature
of Work
NSFR/
Install HVAC system in new home.
Fees: Valuation
Issued By: ~
$4,515.00 Plan Approval $0,00 Permit Fee Paid
[] Permit Voided [
$74.00
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
AgentJOwner
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, ~VI 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
JOB ADDRESS
CHECK lEI ALL APPLICABLE
DEC 0 2 20o2
O0 q4M" 't/IENT
,,,UNITY DEVEL ENT
~E CAT~GORY
,l~Singie Family [ZIDuplex []Multi-Family 12Rental
ZCommercial
12Ind~,,~stfia!
FUEL ,~Gas nElectfic FISolid SYSTEM 2~!ew
[]Oil E]Solar []Other
[]Replace
TYPE
l~orced Air F1Radiant []Steam E]A/C []Vent F-IElectric I-1Hot Water []Suppl.[]Con. Burner
] ......... ,::. <O.~'; ........ : ......
IS CHIMx~Y BEING LINED i~4_o []Yes - LINER SIZE
&
MANUFACTURER
Note: All chimneys shall be sized per the BTUYs being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
F'lChimney A
[]As Approved
I-lAs Per Plan
E~imney B
nExisting
[]Variable
F1Direct Vent
I-'lNot Applicable
Other Value
mOther
DESCRIPT!ON OF ALL WORK BEING DONE fi/Got/ htO~&' g,-~,9~,~t,'*,,& ~¢
VALUE Oncluding labor and all materials including light fixtures)
ELECTRICAL' CONTRACT~RDO//d~ D ~;~ OR.. ~ Electric Installation Verification form attached(If Replacement)
- ' ~ ' ' -' £'/e, ~dca! i.t.*~alladon of new~replacement.equipment shall be done by licensed contractors.
3/02