HomeMy WebLinkAbout0099600-HVACOSHKOSH
ON THE WATER
.lob Address 750WEATHERSTONE DR
Contractor NEW HOMES HEATING LLC
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 FOX CITIES CONSTRUCTION
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ 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
99600
01/27/2003
Other
Vent J
Use/Nature NSFR/Install Lennox heating & cooling system to new home.
of Work
Fees: Valuation
Issued By:
$5,000.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$80.00
Date 01/27/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX2365 Oshkosh WI 54903 -0
Telephone Number
651-8737
City of Oshkosh
Division of Inspection Services /~ ~,~,~
P.O. Box 1130 ' ~'/¢~ ~
Os~osh, WI 54903-1130 a ~~ }~"" ~} ~''' '
Phone (920) 236-'5050
Fax (920) 236-5084
All in~~~)~'~~ must be provided. ....
Incomplete ap~i~a~~cessed.
' Application(s) and fee(s) can be brought to CiW Hall, Room 205 or mailed t-~'~spection Se~ices, PO Box 1128,
Os~osh WI 54903-1128. Co~encing work without pemit(s) Mll result in fees being doubled or $100.00 plus the
no~al pemit fee, w~ch ever is ~eater.
If vou are a contractor participating in the Permit fee Account System and have adequate funds, check here
if ~ou want this processed through Four account
CONT CTOR
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
[~ngle Family FlDuplex
I-tMuiti-Family
ElRental
FiCommerciai
[2]industrial
FUEL [~as F1Electric ~Solid SYSTEM
F1Oil UlSolar
TYPE
[l~F~rced Air ' F1Radiant 'E]Steam" [Gt'A~C E]¥ent E]Eiectric
[_~ Other
Elliot Water
[3Rep!ace
UlSuppl. FICon. Burner
IS CItlMNEY BEING LINED 1[~¢o F1Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
& MANUFACTURER
F'lChirmaey A
[5]As Approved
E]As Per Plan
F1Existing
UlVariable
DESCRIPTION OF AI,L WORK BEING DONE
VALU~E (Including labor and all materials including light fixtures) ~ ~.,&.){~.~.~-- .
ELECTRICAL CONTRACTOR
[] For applicable projects, an Electric Installation Verification form, signed by the Electrica/1 Contractor, must be
attached, if not attached or not applicable, a separate Electrical Permit is required, c"/t ~. ~