HomeMy WebLinkAbout0097394-HVAC
~~.. e
OSHKOSH
ON THE WATER
Job Addre~ 2779 HAMILTON ST
CITY OF OSHKOSH
No
97394
HV AC PERMIT - APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES
Create Date 09/10/2002
Contractor VANS HEATING & AlC INC
Fuel I,(J Gas I Oil
System PJ New
~ Forced Air U Radiant
I J Electric I j Hot Water
Chimney Type K:) Chimney A () Chimney B
Heat Loss . As Approved () Existing
BTU Rate . As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
I
~
I
I Electric
o Replace
U Steam
I J Suppl.
() Direct Vent
I I Solar I Solid
o Other
U AlC U Vent
I I Con. Burner
. Not Applicable
() Not Applicable
() Other
Value
o
Value
Use/Nature NSFRI Installation of furnace & ductwork. * Job #117959.
of Work
Fees: Valuation
Issued By: ~
$4,758.00
Plan Approval
$0.00
Permit Fee Paid
$77.00
Date 09/19/2002
o Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature
Date
Agent/Owner
Address 525 BUTLER ST
DEPERE
WI 54115 - 5426 Telephone Number (920) 336-2816
~:'
. '"
~b tJ II 71E;q
'1&/77~
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
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.
liP 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 greate~.
OR
If vou are a contractor participating in the Permit fee Account System and have adequate funds, check here
if vou want this processed through vour account n
DATE tJ~/(}.-tJ;;;.
JOB ADDRESS ;).'719 Ham/11m? Sf- kill /3/
OWNER (}~Ct.1-r t -e.-. (!.u 5/-0 rv\ Jk m -e s
CONTRACTOR 1Ia Il~ lkal-r ~ '*- !+,', 6Jrd
CHECK 0' ALL APPLICABLE
USE CATEGORY
~Single Family DDuplex DMulti-Family
o Rental
o Commercial
o Industrial
FUEL
~Gas
DOil
DElectric DSolid
DSolar
SYSTEM
18JN ew
o Other
DReplace
TYPE
~Forced Air DRadiant DSteam DAlC DVent DElectric DHot Water QSupp1.DCon. Burner
IS CHIMNEY BEING LINED ll?fNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEA T LOSS
BTU RATE
DChinmey A
!mAs Approved
Ik:lAs Per Plan
DChinmey B
DExisting
DVariab1e
DDirect Vent o Other
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE 1~.5.f.a/I~h~ CJ+ tu01CiC'C' e/ /'1udt..uo/'1-
In 1lL4.J (t?nSfrLLLhCl-,-u {)-f~""5.{.o/Z.A.f hD/?1<P
VALUE (Including labor and all materials including light fixtures) $17 68 ~
ELECTRICAL CONTRACTOR
OR 0 Electric Installation Verification form attached(IfRepJacement)
Electrical installation of new /replacement equipment shall be done by licensed contractors.
3/02