HomeMy WebLinkAbout0102840-HVAC (A/C)OSHKOSH
ON THE WATER
Job Address 48 SENNHOLZ CT
Contractor TENTH STREET STATION INC
Fuel k J Gas
System [] New
~J Forced Air
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
I I Electric
[] Oil
L~ Radiant
[] Hot Water
Owner CHARLES/SHARON SCHMIDT
Category 501 - Residential-Air Conditioning
I¢1 Electric I,, I Solar
~ Replec~
~J Steam L~J NC
~' Suppl. [~on. Burner
ChimneyType ~, ~ ChimneyA ~ Chimney B
Heat Loss ~.) As Approved {,.) Existing
BTU Rate ~ ) As Per Plan {.~ Variable
{.,) DirectVent I Not Applicable I
~l~ Not Applicable I Value
~l~ Other I Value
No 102840
Create Date 07/07/2003
Plan
Other I
j ~j Vent I
0
24m btu
Use/Nature 3FR/Install new 2 ton NC. *EIV form from Drexler Electric.
of Work
Fees: Valuation
Issued By:
$1,441.78 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided
$27.50
Date 07/15/2003
In the performance of this work, I agree to perform ail work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address 924OHIO STREET OSHKOSH WI 54902 -0 Telephone Number 236-8770
City of Oshkosh
Division of Inspection Servlces
P,O. Box 1130
0~osh, WI S4~0~-1130
P~n~ (~20) 21~050
Fax (920) 23~50~
HVAC PERMIT APPLICATION
All information after bold categories mast 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-I 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
nomml permit fee, which ever is g~eater.
OR
~ em a~d ~ ~e '~de u refunds check here
i o~wan this roce~edthr-~~
CI~ECK [] ALL APPLICABLE
USE CATEGORY
1~$ingle Family FqDuplex E]Multi-Family DRental
F1Comm~reial. KIIndastrial
FU~L ElGas ' Ii, Electric V1Solid SYSTEM
FIOil · r'lSolar
TYPE
[2Forced Air [~Radiant DSteam I~A/C ~Vent 12Electric
'IS CltlMI~EY BEING LIN'ED [~1o v1Ye~ - LINER SIZE
Note: All chinmeys shall be sized pe~ the BTU's bemg vented.
cHIMNEY TYPE OChnnney A ElChiraney B
ItEAT LOSS []As Approved VIExisting
BTU RATE VIAs Per Plan r'lVariable
DESCRIPTION OF ALL WORK BEING DONE
'[~qcw EIR, eplace
ElOther
[~Hot Water VISuppl. VICon. Burner
& MANUFACTURER
[~Direct Vent l~l}Other
~Not Applicable
· VALI. rE (Including labor and all materials Including light fixtures) $
ELECTRICAL CONTRACTOR p~'~t¢'~
~For applicable projects, an Electric Installation Yerifieation form, signed by the Electrical Con~ractor, must be
aRa0hcd If not attached or not applicable, ~ separate Elecl-rical Permit is required.
FROM :TENTH STREET STATION, INC. FAX NO. :920-2~6-0i58 Jul. 87 2003 10: 12AM P9
Electric Installation Verification
. . (Ad&e~). (Ciw) . (State) (Zip C~o)
~e ofp~ ~n~a~ to)
(Address wh~ work ~11 bo ~o~cd)
~ ~e 0f ~c ~ork con~ 0f: (~k ~ or Describe ~c Na~e of Work)
Reco~fon or new ~rcuit for r~l~ent H~g Pl~t ~or MC Condense.
R~o~fion or n~ okouit for ~la~t E1~Mc Wa~ Hea~ or pow~ Vent~
walvr
'" ' ', ,,' R~o~ecfion of~e S~ce Encee C~lc, Met~ Box, ~fio~ tO r~c~tacl~
~ ~g ~ due W riding / so~t ~stalla~on. Note: N~ S~ice
.... ,. Bn~e C~bl~ ~11 ~u~c a ~ar~ p~t. ·
app~ / fi~s.
~ c~dt for ~e a~tion of ~C to ~ i~di~dua[ ~[lin~ uni~ ~o~e'or the
'. in~vidual s~s in a dup]~ or condo~)~ inkling r~
el~caI outlet.
'' '..'.~'" : ". Oth~ .
.. , . ~. '..[ .: .... .. <. :- ~ ~..:?::'.~.[ ..... '.. ..
. ~c ~ecgon / i~afi~ will b~ done in compli~cc wi~ m~ac~ and Elecdc c~e
.~r~. . .
. (Si~a~rc ~f Comply Offi~). (~nl N~e of O~ccO (Date)
· , .!: . ~ '.' ..:
9/02