HomeMy WebLinkAbout2003-HVAC(~ CITY OF OSHKOSH No
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3888 PURPLE CREST DR Owner DEWEY HOMES INC
Contractor AMERICAN HEATING & A C CO Category 502- Residential-Both
Fuel ~J Gas ~ ~J Oil b~ Electric ~J Solar
System ~J New ~ ~J Replace ~ ~J Other
~J Forced Air I ~J Radiant L~ Steam ~J A/C
~J Electric I ~J Hot Water b~ suppl. ~J Con. Burner
Chimney Type I~ Chimney A O Chimney B ~ Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~ Other I Value 75m & 24m a/c
Create Date
Plan
~J Solid
Vent
100554
02/17/2003
Use/Nature NSFR/Install 75m btu furnace, 2 ton central a/c and air exchanger.
of Work
Fees: Valuation
Issued By:
$5,800.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$92.00
Date 04/01/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1129 MICHIGAN AVE OSHKOSH WI 54902 -6437 Telephone Number
(920) 235-8090
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
All infomtion after bold categoriesrm~l~vg~.[¢ ~[g~ Incomplete apphcat~ons will n6[ ~rocessed.
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
If you are a contractor' participating in the Permit .fee Account S~'stem and have adequate funds, check here
if you want thts processed through your account [-~
DATE
CHECK [] ALL APPLICABLE
E CATEGORY
ingle Family IZlDuplex
FqMulti-Family
IDRental F-ICommercial Fllndustrial
FUEL ~1,~ a s UIElectric F1Solid SYSTEM "~Oew
r-fOil UlSolar ther
UIReplace
.T yPE
y ,o=ed
Air I-IRadiant nSteam ~xA/C EVent UlElectric ~Hot Water
DSuppl.~Con.
Burner
IS CHIMNEY BEING LINED~o ~Yes - LINER SIZE & MA~FAC~R
Note: All chimeys shall be sized per the BTU's being vented.
CHIMNEY TYPE E]Chimney A )~C, bimney B F1Direct Vent
HEAT LOSS I-lAs Approved F1Existing 12j~Not Applicable
BTU RATE nAs Per Plan F1Variable ~lOther Value
DESCRIPTION OF ALIt WORK BEI2NG DONE
VALUE (Including labor and all materials including light fixtures)
ELECTRICAL CONTRACTOR
,,O~ [] Electric Installation Verification form attached(If Replacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors.
3/02