HomeMy WebLinkAbout0098857-HVACOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
2798 HAMILTON ST
BAY AREA SERVICES INC
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
~ Gas I ~ Oil
[] New I
[~J Forced Air I [_~ Radiant
~ Electric I L~ Hot Water
Chimney Type ~.~ Chimney A O Chimney B
Heat Loss ~ As Approved ~ Existing
BTU Rate O As Per Plan ~ Vadable
Owner CREATIVE CUSTOM HOMES
Category 500 - Residential-Heating & Ventilating
~ Electdc I U Solar
[] Replace
Suppl.
Steam I [~a A/C J
I [~-~n. Burner ]
O Not Applicable t
Not Applicable Value
Other I Value
Direct Vent
No 98857
Create Date 09/24/2002
Plan
~ Solid
[] Other
Vent
Use/Nature
of Work
INSFPJ Install HVAC system in new home.
Fees: Valuation
Issued By: ~
$4,215.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided
$69.50
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
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 Serv/ces, 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
IIevou are a contractor participating in the Permit ieee Account System and have adequate £unds, check here
i£vou want this processed through your account ~
JOB A Dm SS g ? q 81
CONTRACTOR
CHECK 17I ALL APPLICABLE
USE CATEGORY
[51~ingle Family [3Duplex
DMulti-Family
F1Rental
FUEL ~as [3Electric V1Solid SYSTEM ~Xlew E]Replace
ElOil ElSolar EIOther
TYPE
~orced Air EIRadiant EISteam EIA/C [2Vent EIElectric [2Hot Water F'lSuppl. ElCon. Burner
IS CHIMNEY BEING LINED ~ DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
nChimney A
[21As Approved
E]As Per Plan
J~Chirnney B
[2Existing
ElVariable
[3Direct Vent
[2Not Applicable
[2Other Value
[2Other
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ ~/t Q. ! ~'-. ~
ELECTRICAL CONTR~CTOR~?IP~~'/5/~[~~OR [] Electric Installation Verification form attached(If Replaceme,:.':
Electrical installation of new/replacement equipment shall be done by licensed contraca,~ ~.
3/02