HomeMy WebLinkAbout0099800 HOSHKOSH
ON THE WATER
.lob Address 221 N SAWYER ST
Contractor CUSTOM COMFORT 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 CITY OF OSHKOSH
Category 510 - Ind. & Comm-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
No 99800
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Create Date 02/12/2003
Plan
Solar J L~ Solid
~J Other
A/C I ~J Vent
Con. Burner I
Not Applicable
Value
Value
Not Applicable
Other
PVC through wall
Use/Nature COMM/LATE PERMIT/Replacing furnace with 2 - 100m btu furnaces. *EIV form from Custom Electric.
of Work
Fees: Valuation
Issued By:
$12,680.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$0.00
Date 02/12/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 400 W. NORTHLAND AVE. APPLETON WI 54911 -0
Telephone Number
(920) 832-4005
F~b 06 0:3 12~S;Ep
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phor~ (920) 235-5050
l~ax (920)
oshkosh Inspections ~9~_~=23S - 5084
FEB
HVAC PERMIT APPLICATION
All ~o~on after bold categories must b~ provideA
~omplete applicadom ~11 not be p~ocesse&
· Application(s) and fee(s) can b~ brought to City Hall, Room 205 or mailcd to Inspection Services, PO Box 1128,
Oshkosh. WI 54903-1128. Commencing work without permit(s) will resuk in fees being doubled or $100.00 plus thc
normal permit fee, which cv~r is greater.
OR
If you are a contractor participating in the.Permit tea ,~e~unt S~,stem and have adeouate funds, cheek here
if ypu want this proce~ed
C~CK ~ ~ ~PLIC~LE " "
USE CATEGORY
r~Single Family r3Dgple× CIMul+.i-Family =Re=ta~' co cr iat :ma~a
TYP~
~Forc~d Air ~Rad~t ~St~am ~C ~V~nt ~El~c~c ~Hot. Wat~r ~8upp], ~Con. ~m~r
IS CHE~INEY ~BFaING LINED '!~N0 ~Yes' - ~R S~E. &
Note: Al1 c~meys s~ll be s~ed per ~e B~'$ ba~g vented.
cmM~Y'~E' '~C[i~ey A ' ~imey B ~Dire~t Vent
~AT LOSS ~As Approved '~Exishng ~Not A~limble
BTU ~TE ~As Per Pi~ ~Vm~le ~Oth~ Val~
VALUE (Indudin~ ~a~or .-d .11 material~ in¢luaing light ~xture,) $ /~ b~d ~
G For applic,b~e proje,ts, an Elec~c h,tallation V~ficafion fora, s~"~y 'he Et;;~C'~"'~;n~ac.r, must be
.... attached. If not a~ched or not~ applicable, a sep~ate .lec~cal Pe~.t is requked.
O/HKO/H
ON THE WATE~
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
I (We)
(Electrical Contractor Name)
(Address) ' (City) (State)
(Zip Code)
have been contracted to perform electric installation work for ~' ~ ~.-o ,-~ )-L.t,~"~).~-,-,~{ ,
(Name of party contracted to),J
at the following address:
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
~ Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of A/C to an individual dwelling unit (house or the
.... i_n~i_~.~! ~stems!~__.a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
r.o- (Si-gnature~ of dgj~any~Officer)
4'
(Print Name of Officer)
(Date)
5/02