HomeMy WebLinkAbout0100205-HVAC (furnace)OSHKOSH
ON THE WATER
,Job Address 502 UNION AVE
Contractor TENTH STREET STATION INC
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner MR/MRS JEFFREY MARKS
Category 500- Residential-Heating & Ventilating
Electric
Replace
Steam
Suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
100205
03/14/2003
Other J
Vent J
75m
Use/Nature SFR/Replace furnace. *EIV form from Drexler Electric.
of Work
Fees: Valuation
Issued By:
$2,080.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$36.50
Date 03/14/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 924 OHIO STREET OSHKOSH WI 54902 -0
Telephone Number
236-8770
03/12/2003 05:54 9202360150 TENTHSTREETSTATION PAGE Bi
City of Oshk~
Division ~,t tr spc.:~-on .Service:;
P,O, Box ;J3)
Oshkosh. '~'1
Phon~ (920'~ 736..5t}50
Fax (u20~ 276-5 )';4
HVAC PERMIT APPLICATION
t'Q] /n!brm2l/on af[cr bom colcgorje$ must bc provided.
].co~lplete applications will pot be processed,
e Appl~ca:ioms~ and fee(s) can be brough~ to City Hail. Room 205 or mailed to Inspection Servjccs, I'O 13ox 1128~
¢)~hkos~' '&'~ 549()3-t 128. Commencing work wilhout pemm(S) will result in tees being doubled or $i00.00 plus the
~ 3'ou ~'c ~z cu':tra~articipatint i. the Pet'mi~ec~ ~ccount ~.s'lem and hove adeouole ~nd, ~h ....
CHECK E] ^LL APPLICABLE
USE CATEGORY
i~l~ingle Family IZJDuplcx l~Mulfi-Family E]RenIal
FUEL ~'3',~ .. ~Eltc~ric ~So}id SYSTEM
~OiJ ~SoJar
12]Commercial
~lndustrial
FINew ~er lace
F]Omer
TYPE
[~orced/.,ir 2R.~dian[ Clgte:m~ ,"'IA/C [3Vent DElectnc C2}.lot Waler ~Suppl,DCon. Burner
IS C~ININEY B ~:ING I,.INE!) ~'o ~Ycs - LINER SIZE ~-~ & MANL:FAC]~RER
CII]~INEy TYI'E OChimncy A ~Cbimney B ~irect Vent ~Other
~EAT LOSS ~As Approved ~xisting ~Nol Applicable
BTI; R~'rE O/~s Per P~an ~vm'iablc ~thcr Villuc _ ~/~
DESCRIP FI",~' ('F ALL WORK BEING I'ONE ~ l~~
ELECTRI('A1. ( ;ONTR.a, CTOR~2~5~ O__~R ~. Elce,ric Installation Verificalinn form
]102
85:54 9202360150
TENTHSTREETSTATION
PAGE
~leetrle lnstallattun Verification
(~ ofpa3ty t~.traeted to) '"
(Ad~ wh~e work will
~- ~,.~teotion or ~=w ~=h:~lt tot ~iacco~ca/HC~g Ph~t ~l~ot A/C Condc~cr.
~d li~hti,,g flx~r~ dt;o to ai~ug / SO~t nm~lation. Note: N~ S~rvice
~ R~u~t~on or n~ ci~uit for ~o ~pl~en~t ofo~ P~mn~tly
(Zip Code)
the r~o~eoeim~ / ~ll~ion w~;I [~ done ~n oompli~r~e wi~ ~. - Y u~l~ v~