HomeMy WebLinkAbout0099802-HVACOSHKOSH
ON THE WATER
.lob Address 605 GOLDEN IRIS DR
Contractor AMERICAN HEATING & A C CO
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner TIMOTHY/DENISE GUAY
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
99802
02/12/2003
Other
Vent J
Use/Nature SFR/Add 3-supplies and 1 return to finished basement.
of Work
Fees: Valuation
Issued By:
$300.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$20.00
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 1129 MICHIGAN AVE OSHKOSH WI 54902 -6437 Telephone Number
(920) 235-8090
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 TH~ wA~rER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
Application(s) and fee(s) can be brought to City tlall, Room 205 or mailed to Inspection Services, 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
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account ~]
nDuplex UIMulti-Family
U1Rental
F1Electric I-1Solid SYSTEM
[3Solar
JOB ADDRESS
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
]~ingle Family
FUEL
UIOil
DATE
'l~New t-IReplace
[3Other
TYPE
~,orCed Air I-IRadiant [3Steam [3A/C [3Vent [3Electric [3Hot Water
[3Suppl.rqCon.
Burner
IS CHIMNEY BEING LINED ~(~o EYes - I.INER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE EIChinmey A [3Chimney B F1Direct Vent mOther
HEAT LOSS [3As Approved [3Existing [3Not Applicable
BTU RATE gAs Per Plan [3Variable [3Other Value
DESCRIPTION OF ALL WORK BEING DONE /~]_r~_/'~t 2- .5'o',~/o/'~,f
VALUE (Including labor and all materials including light fixtures)
ELECTRICAL CONTRACTOR
OR [] Electric Installation Verification form attached(If Replacement)
Electrical installation of new~replacement equipment shall be done by licensed contractors.
3/02