HomeMy WebLinkAbout2003-HVAC (air)OSHKOSH
ON THE WATER
.lob Address 2520 WITZEL AVE
Contractor BREWER HEATING
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner HAVENWOOD LAKE LLC
Category 500- Residential-Heating & Ventilating
L~ Electric
New ] ~ Replace ]
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~) Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~] As Per Plan ~] Variable ~ Other I Value
No
Create Date
Plan
~ Solid
99848
02/17/2003
Other ]
Vent
Use/Nature MULTI-FAMILY/Make-up air for parking garage. *ANY ADDITIONAL VALUE / WORK WILL REQUIRE ADDITIONAL PERMITS.
of Work
Fees: Valuation $13,000.00 Plan Approval $0.00 Permit Fee Paid $185.00
Issued By: Date 02/17/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address N8804 N DOUGLAS STREET RIPON WI 54971 -0 Telephone Number (920)748-6494
City of Oshkosh
Division of InsP~eCtion Services
P.O. Box t 130
Ostnkosh, WI 54903-1130
Phone (920) 23645050
Fax (920) 236-5084
HVAC PERMIT A /ICATIO
All information 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 1128,
Oshkosh WI 54903-1128. Corrnnencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal pe~it 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 fl
.=ss
CONTRACTOR 5~-,l~'J..LJcd~.~ ec~-~' (~, } ~1/('
CHECK [~ ALL APPLICABLE
USE CATEGORY
ElSingle Family I-1Duplex
/~t~lulti-Family
DATE ~ iq-O,3
RECEIVED
DEP RTMENT OF
OOMMLINITy DEVELOPMENT
EIRental FICommercial 1-1Industrial
FUEL f-xEIGas
[]Oil
TYPE
[]Electric ZISolid
[]Solar
SYSTEM EINew FIReplace
[] Other
[]Vent •Electric I-IHot Water []suPPl'E1C°n' Burner
IS CBIMNEY BEING LINED l"lNo F1Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE I-IChimney A []Chimney B []Direct Vent []Other
HEAT LOSS I-lAs Approved []Existing FlNot Applicable
BTU RATE Il]As Per Plan []Variable []Other Value
DESCRIPTION OF ALL WORK BEING DONE //)]q ¢ /.2~9 /~,"- -
VALUE (Including labor and all materials including light fixtures) $ /3tO00. O0
ELECTRICAL CONTRACTOR
.OR [] Electric Installation Verification form attached(If Replacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors.
3/02