HomeMy WebLinkAbout0097779-HVAC
e~
OSHKOSH
ON THE WATER
Job Address 2746 HAMILTON ST
CITY OF OSHKOSH
No
97779
HVAC PERMIT - APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES
Create Date 07/17/2002
Contractor VANS HEATING & AlC INC
Fuel 1,(1 Gas I J Oil
System ~ New
~ Forced Air U Radiant
1 I Electric 1 J Hot Water
Chimney Type () Chimney A e) Chimney B
Heat Loss . As Approved e) Existing
BTU Rate . As Per Plan e) Variable
Category 500 - Residential-Heating & Ventilating Plan
I I Solar I J Solid
D Other
U AlC U Vent
I I Con. Burner
. Not Applicable
I Electric
D Replace
U Stearn
I I Suppl.
e) Direct Vent
() Not Applicable
e) Other
Value
o
Value
Use/Nature NSFR/ Installation of furnace & ductwork. * Job #118825.
of Work
Fees: Valuation
Issued By: k \'V\
$4,412.00
Plan Approval
$0.00
Permit Fee Paid
$72.50
Date 10/07/2002
D Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address
525 BUTLER ST
DEPERE
WI 54115 - 5426 Telephone Number (920) 336-2816
.~..t:::
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, \VI54903-1l30
Phone (920) 236-5050
Fax (920) 236-5084
Job -If ug 8J5 . j(e J R(c E lYE ~
0D . ~
/,-. ~ !}..1?-' OCT 0 1 2002 .
~\\Y'J 'l OfHKOfH
DEPARTMENT OF ON THE WATER
AC PERMIT APPl.OOA7[JmlW DEVELOPMENT
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. 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 vou are a contractor lJarticilJating in the Permit fee Account System and have adequate funds. check here
if'vou want this lJrocessed throuzh vour account n
JOBADDRESS ~7Lj~ ~m; II-or, cf;L kfli/d:J
O\VNER Cr~o !-1I;'('..; bJ \.km &me.s
CONTRACTOR Jh/1 ~ ;kah& ../ /hI' 611d
DA TE-1.-dl? -{);l
CHECK 0 ALL APPLICABLE
USE CATEGORY
~Single Family DDuplex DMulti-Family
DRental
o Commercial
o Industrial
FUEL
~Gas
DOil
DElectric DSolid
D Solar
SYSTEM
.~ew
DOther
DReplace
TYPE
~Forced Air DRadiant DSteam DNC DVent DElectric DHot Water DSuppl.DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
REA T LOSS
BTURATE
OChimney A
~s Approved
~s Per Plan
OChimney B
DExisting
DVariable
DDirect Vent o Other
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE JASfn Iluh~1l tlUrMt:e and
cU1.ctubr Ie /n Nt:..W {/)f'L*u"hon
VALUE (Incl.uding labor and all materials including light fixtures) $ Lj I..j I d t!J~
ELECTRICAL CONTRACTOR /JO!J e..
,
OR 0 Electric Installation Verification form attached(IfReplacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors.
3/02