HomeMy WebLinkAbout0100265-HVACOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
1322 BOWEN ST
RICHARDS HEATING COOLING & ROOF
[] Gas }
[] New
L~J Forced Air
[~ Electric
[~-Oil
L--J Radiant
Hot Water
Chimney Type ~..~ Chimney A ~1~ Chimney B
Heat Loss ~,~ As Approved ~1 Existing
BTU Rate ~ As Per Plan ~.~ Variable
Owner
Category 500- Residential-Heating & Ventilating
L~ Electric
[] Replace
LJ Steam
I~ Suppl.
No 100265
Create Date 05/01/2002
Plan
Solar I ~'-Solid ]
[] Other I
IJ NC I L-J Vent j
[] Con. Burner
~.~ Direct Vent F_~ Not Applicable I
~ Not Applicable I Value
~1~ Other I Value
Use/Nature SFR/Replacement of furnace & ductwork, due to fire.
of Work
Fees: Valuation $3,800.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: ~_ ~ Date 03/18/2003
[] Permit Voided
In the performance of this work,, I agree to perfo, r.m all work pursuant to rules governing the described construction.
Signature ~~-~'~~ Date 3//~'/02
~ Agent/Owner '
Address 1211 FLIGHTWAY DR DEPERE WI 54115 - 0 Telephone Number 920-499-8835
City of Oshkosh
Division of Inspection Services '
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
OJ"HKO/H
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
I£¥ou are a contractor participating in the Permit fee Account System and have adequate funds, check here
(f you want this processed through ~,our account ~
CHECK [] ALL APPLICABLE
USE CATEGORY
~Single Family F1Duplex
I-1Multi-Family
F1Rental FICommercial Fllndustrial
FUEL ~as F1Electric F1Solid SYSTEM I-INew l~Replace
mOil FISolar F1Other
TYPE
~[Forced Air F1Radiant F1Steam FIA/C nVent FIElectric F1Hot Water F1Suppl. I-ICon. Burner
IS CItIMNEY BEING LINED~INo E]Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being yented.
& MANUFACTURER
CHIMNEY TYPE F1Chimney A I~lChimney B [2Direct Vent
HEAT LOSS mas Approved J~t~Existing F1Not Applicable
BTU RATE F1As Per Plan F1Variable [=lOther Value
DESCRIPTION OF ALL WORK BEING DONE ~
F1Other
VALUE (Including labor and all materials including light fixtures) $ '~ '
ELECTRICAL CONTRACTOR
[] For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02