HomeMy WebLinkAbout0099661-HVACOSHKOSH
ON THE WATER
,Job Address 2321 SHORE PRESERVE 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 CORP
Category 502- Residential-Both
Electric
Replace
Steam
Suppl.
No 99661
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Create Date 11/22/2002
Plan
Not Applicable
Other
Solar J L~ Solid
~J Other
A/C I ~J Vent
Con. Burner I
Not Applicable
Value
Value
0
100m btu input & 3.5ton
Use/Nature NSFR/ Install Lennox heating/cooling system in new home.
of Work
Fees: Valuation
Issued By:
$6,800.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided
$107.00
Date 02/03/2003
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
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ON THE WATER
HVAC PERMIT APPLICATION
All infornmtion 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 i 128,
Ost~osh WI 54903-1128. Commencing work without permit(s) w/ll 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 her~
if l;ou want this processed through your account [-~
co~r~CTOR NEW q~0me~ ¢celM~4+
CHECK [] ALL APPLICABLE
USEr, CATEGORY
~ingle Family l-tDuplex F1Multi-Family 1DRentat'
F1Commercial
E]Industrial
[B~s' F1Electric nSolid SYSTEM ~, U, Rep~acc
~.'Oil ElSolar E]Other
ced Air IZlRadiant E]Steam ~'--nVent fi]Electric F1Hot Water F1Suppl. ElCon. Burner
IS CltlMNEY BEING LINED IDNo FlYes - LINER sIZE
Note: Alt cl~inmeys shall be Sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE E]Chinmey A ~Chimney B ElDirect Vent ElOther
~ ~EAT LOSS DAs Approved E]ExistJng E]Not Applicable
BTU 1L&TE L3As Per Plan f_qVmSable ~Other Value
m~:scmimo~ ov ~ WORK~EI~'DO~ IN%'rl~L t4f~'hbl& '~- tMC_. th3
ELECT~C,~ CONT~CTOR _T
U For applicable projects, an ElecO:ic Installation VehScafion form, signed by thc Electrical ConEactor, must
alt;~ched. If not attached or not applicable, a separ,qte ElecO-ical Permit is required.
9/02