HomeMy WebLinkAbout0098091-HVAC
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CITY OF OSHKOSJi
HVAC PERMIT -APPLICATION AND RECORD
No
98091
e
OSHKOSH
ON THE WATER
Job Address 2756 HAMILTON ST
Owner THOMAS N RUSCH
Create Date 07/17/2002
Contractor BAY AREA SERVICES INC
Fuel 1,(1 Gas I J Oil
System o New
~ Forced Air U Radiant
I 1 Electric I I Hot Water
Chimney Type ~) Chimney A . Chimney B
Heat Loss . As Approved () Existing
BTU Rate . As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
1 I Solar U Solid
o Other
U AlC U Vent
I I Con. Burner
() Not Applicable
J Electric
o Replace
U Steam
I I SuppL
() Direct Vent
() Not Applicable
() Other
Value
o
Value
Use/Nature NSFRllnstall HVAC system.
of Work
-:-
Fees: Valuation
$4,315.00
Plan Approval
$0.00
Permit Fee Paid
$71.00
Issued By:
Date 10/21/2002
o Permit Voided I
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
1449 S BROADWAY
GREEN BAY
WI 54304 - 0
Telephone Number 920-435-7111
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, dtY of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
OfHKOfH
ON THE WATER
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 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
s check here
JOB ADDRESS d.-15 b ff~ml(".(CI/f/
OWNER CAerlrr v6 vut] fCI/Yl l1-D/J? ES
CONTRACTOR f)I1Y /fA ff/1- t7E;f<t/Ic.es
ATE I OCT
OCT 2 1 20Q'L
DEPARTMENT OF
'COMMUN1TY DEVELOPMENT
CHECK ItI ALL APPLICABLE
USE CATEGORY
gSingle Fmnily DDuplexDMulti-Family
DRental
tJCommercial
DIndustrial
FUEL
3'Gas
o Oil
DElectric DSolid
DSolar
SYSTEM
g'New
o Other
DReplace
TYPE
I:3Forced Air DRadiant DSteam DAlC DVent DElectric DHot Water DSupp1.0Con. Burner
IS CHIMNEY BEING LINED ~o OYes - LINER SIZE
Note: All chimneys shall be sized pel' the BTU's being vented.
& MANUFACTURER
CHlMi'ffiY TYPE
HEAT LOSS
BTU RATE
DChimney A
I8'As Approved
L3'As Per Plan
5fChimney B
OExisting
DVariable
ODirect Vent o Other
DNot Applicable
OOther Value
DESCRIPTION OF ALL WORK BEING DONE A/ffw l1D/h6
1;+ f5 19- T r /1./ b
0'7<5 rem
VALUE (Inclucting labor and all materials including light fixtures) $ t.t 3/ t;. r:rt'J
ELECTRICAl," CONTRACTOR In it-< t 0 l7~flp.,T OR 0 Electric Installation VeriflcatiOi. L:c!n "t*:ilched(lfRe;-lacemer:I
. Electrical installation of new/replacemenl equipmeni snail be done ~ ,;censpd cO":li.'; :&~s.
3/02