HomeMy WebLinkAbout0100240-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 2795 HAMILTON ST
Contractor VANS HEATING & A/C INC
Fuel
System
Gas J ~J Oil
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner DAVID M REES
Category 501 - Residential-Air Conditioning
Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B
~ Existing
~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
100240
03/14/2003
Other J
Vent J
Use/Nature SFR/Installing new central air.
of Work
Fees: Valuation
Issued By:
$1,783.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$32.00
Date 03/17/2003
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
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-I 130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provide~.
Incomplete applications will not be processed.
ON THE WATER
· 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
!f you are a'contractor participating in the Permit fee Account System and have adequate _funds, check here
(£¥ou want this processed through your account ~
CHECK [] ALL APPLICABLE
lnCATEGORY
gle Family IDDuplex
6+.
ElMulti-Family
EIRental
[] Commercial ' l~'lflaustrial
FUEL []Gas ~ec~c [3Solid SYSTEM ~ew •Replace
[3Oil [3Solar []Other
TYPE
I-]Forced Air [2]Radiant []Stea . [3Vent DElectric [3Hot Water l-lSuppl. DCon. Burner
IS CHIMNEY BEING LINED,~o [3Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
[]Chimney A
•As Approved
[3As Per Plan
[]Chimney B
[3Existing
[3Variable
[3Direct Vent
· []Not Applicable
[]Other Value
DESCRIPTION OF ALL WORK BEING DONE
[]Other
VALUE (Including labor and all materials including light fixtures)
ELECTRICAL CONTRACTOR
OR [] Electric Installation Verification form attached(If Replacement)
bo:ld; ,q Electricalinstallationofnew/replacementequipmentshallbedonebylicensedcontracto!
3/02