HomeMy WebLinkAbout0100492-HVAC (duct system)OSHKOSH
ON THE WATER
.lob Address 522 W 5TH AVE
Contractor TENTH STREET STATION INC
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air
Electric
Oil
Owner WILLIAM C STEINER
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
Radiant
Hot Water
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 ~ Direct Vent ~ Not Applicable I
O Existing ~ Not Applicable I Value
~ Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
100492
01/31/2003
Other
Vent J
Use/Nature
of Work
Late Permit- Install new duct system on owner's existing furnace (Finish lower level to include 3 bedrooms and 1 bathroom).
Fees: Valuation
Issued By:
$1,840.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$33.50
Date 03/28/2003
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
03/27/2003 23:38 9202360150 TENTHSTREETSTATION PAGE 01
Civj of Oshkosh
Division oflnspec:i0t: So.ices
P.O. Box 1130
Oshkosh, W1 549(',3. I 130
Phone (g20) 236-5050
Fax (920) 236-508~
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
l~complele applications ,viii not be processed.
· Application(s) and fee(s) can be brought 1o City Hall, Room 205 or mailed to Inspection Services.
Oshkosh WI 54903-I 128. Commencing work without permit(s) will result in fees being doubled.,
normal permit fee. which ever is greater.
OR
13~ YO~.~ are a c29~n~Lractor participat(ng in the Perm(t fe~ dccount System and h.a~e_~d~auate /)
if yo~!., want tl~iy pr~ocesfed through,,v.ou~ occount {72]
i
ADDRESS z 5
CHECK [] ALI, APPLICABLE
~ CATEGORY
[2[Single Family E]Duplex ["lMulti-Family F1Rental FICommercial Din:
FUEL IZIGas ElElectri¢ DSolid SYSTEM I~i~New ElReplao
[] Oil F1Solar EIOth*r
TYPE
OForced Air FIRadiant ~Steam r'IA/C OVent FlElec~¢ OHot Water FISuppl.
IS CHIMNEY BEING LINED CINo [lYes - LINER SIZE
Note: All chirrmeys ~halI 'me sized per the BTU's being vetoed,
& MANUFACTURER
CHIMNEY TYPE EIChJ, mney A l[/l~Chimney B ~Direct Vent
HEAT LOSS Elas Approved ~xistmg ~No! Applicable
BTU RATE EIAs Per Plan ~Vanable EIOther Value
E]Other
DESCRIPTION OF ALL WOILK BEING DONE
VALUE (Including labor and all materials including light fixtures) $
ELECTR/CAL CONTRACTOR
f~ ]:or apphcabl~ prO~ects, an Elect~c Installation Verification form, signed by the Electrical C~
attached. If not attached or not applicable, a separate Elcc~cal Penni: is required.