HomeMy WebLinkAbout0099801-HVACOSHKOSH
ON THE WATER
.lob Address 3750 PURPLE CREST CT
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 DEWEY HOMES
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA O 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
99801
11/11/2002
Other
Vent J
75m
Use/Nature NSFR/ Install 75m btu furnace and 2 ton central a/c.
of Work
Fees: Valuation
Issued By:
$4,700.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$75.50
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- I 130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKQ/H
ON TNF V,/ATFR
Application(s) and fee(s) can be brought to City Hall, 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 throu~,t~,_~your account
OWNER
CHECK [] ALL APPLICABLE
~SpE CATEGORY
,zg~ngle Family UIDuplex nMulti-Family nRental
FUEL "~as V'l Etectric nSolid SYSTEM
BOil U1Solar
FEB
~ew FIReplace
IZIOther
=PE
arced Air nRadiant F1Steam~/C UIVent UlElectric [3Hot Water U1Suppl. U1Con. Burner
IS CHIMNEY BEING LINED ~}i~o UlYes - LINER SIZE
Note: All chimneys shall be sized pc} th~ BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEATLOSS
BTU RATE
FlChimney A
nAs Approved
mAs Per Plan
~]~Chimney B
UIExisting
ClVariable
I-1Direct Vent UIOther
Applicable
[~ther Value., ~?'J'~ ~700
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures)
ELECTRICAL CONTRACTOR
OR B Electric Installation Verification form attached(If Replacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors.
.fid
3/02