HomeMy WebLinkAbout0099665-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1612 WESTERN ST
Contractor AIR TECH HEATING INC
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 COREY J/MICHELL MILLER
Category 500- Residential-Heating & Ventilating
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
99665
02/03/2003
Other
Vent J
60m
Use/Nature SFR/Replace furnace, install chimney liner and add ductwork.
of Work
Fees: Valuation
Issued By:
$3,425.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$57.50
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 1305A INDUSTRIAL PARKWAY FOND DU LAC WI 54937 -2208 Telephone Number
(920) 924-6742
City of Oshkosh
Division of k~spection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (gzO) 236-~0. 0
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O_,rHKOJ'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 XVI 54903-1128. Cormnencing work without permit(s) will result in fees being doubled or $i 00.00 plus the
normal permit fee, which ever is greater.
OR
l£vou are a contractor varticipating in the Permit fee Account $,?stem and have adequate funds, check here
~£ vou want this pro_cessed through your account []
JOSAVDPmSS /a ,a
CONTaACTOR
USE CATEGORY
~Single Family FiDuplex F1Multi~Family FIRental
DATE /
ElCommercial IZIIndustrial
FUEL I~Gas ~Electric EISolid SYSTEM
FiOil ElSo!ar
ElNew 12~Replace
FIOther
TYPE
~Forced Air FiRadiant u1Stemm FIA/C F!Vent ~Electric
IS CHIMNEY BEING LINED F1No ~Yes - LINER SIZE ,~"
Note: Al! chimneys shall be sized per the BTU's being vented.
F1Hot Water r'ISuppl.
& MANUFACIXJI~R
F'lCon. Burner
CqtlMNEY TYPE EiChimney A ElChimney B FIDirect Vent EIOther
HEAT LOSS FiAs Approved EiExisting EINot Applicable
BTU RATE rqAs Per_ Plan F1VaHabie ~Other Value . Z.~: O00
I~,SCPaPTZON O~ ALL WOaI~ ~IN¢ ~O~ ~ ~.,.-e'~ ~ ~
VALUE (including labor and all materials including fight fixtures)
ELECTRICAL CONTRACTOR
~ For applicable projects, an Electric installatiOn Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02