HomeMy WebLinkAbout0098092-HVAC
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OSHKOSH
ON THE WATER
Job Address 2764 HAMILTON ST
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
No
98092
Owner CREATIVE CUSTOM HOMES
Create Date 07/17/2002
Contractor BAY AREA SERVICES INC
Fuel ~ Gas I Oil
System ~ New
~ Forced Air U Radiant
I I Electric I J 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
U Electric
o Replace
U Steam
I I Suppl.
I I Solar I Solid
o Other
U AlC U Vent
I I Con. Burner
() Direct Vent () Not Applicable
() Not Applicable
() Other
Value
o
Value
Use/Nature NSFR/ Install HVAC system.
of Work
Fees: Valuation
$3,855.00
Plan Approval
$0.00
Permit Fee Paid
$63.50
Date 10/21/2002
Issued By:
o 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
1449 S BROADWAY
GREEN BAY
WI 54304 - 0
Telephone Number 920-435-7111
CitY of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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
If yOU are a contractor varticipatinf! in the Permit fee Account System and have adequate funds,. check here
if you want this processed through your account n
OWNER Gp..~A-rtV{; (;U':;TCI/h
11 C/ /J7 f7 ~
{{teE/VED
OCT 2 1 2002
COMJu~1~r:ENr OF
c.VELOPMENT
JOB ADDRESS ~ 7 b if
HAm/1r TOA/
CONTRACTOR t3t4Y Mf7/f SI5RI.AC-f7S
CHECK Ii1 ALL APPLICABLE
USE CATEGORY
I8'Single Family DDuplex DMulti-Family
DRental
o Commercial
o Indus'llial
FUEL
gGas
o Oil
DElectric DSolid
o Solar
SYSTEM
~ew
o Other
DReplace
TYPE
~orced Air ORadiant DSteam DAlC DVent DElectric DHot Water DSuppl.DCon. Burner
IS CHIMNEY BEING LINED !ENo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
pChimney A
. gAs Approved
~As Per Plan
~Chimney B. o Direct Vent DOther,',
DExisting "." dNofAppIlcable'
o Variable DOther Value
'l\' ~ 'i ~
DESCRIPTION OF ALL WORK BEING DONE A/6w 1'1-0/716
I+~/f"""/Vb SY7,!5"/77
VALVE (Including labor and all materials including light fixtures) $ 3 8 55", en:;
ELECTRI CAL CONTRACTOR. fh 1M 13 0 17 L S,4A r 0 R [J Electric Installation V fri",,=:.t:~!l form atta('hed(If Replacement)
Electrical installation ofnewlreplac-:ment p:juipmcnt sfwfl bt; done by licensed contractors.
3/02