HomeMy WebLinkAbout0100620-HVACOSHKOSH
ON THE WATER
.lob Address 2458 HICKORY LN
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
ALL SEASONS QUALITY HTG & CLG
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner DANIEL C/LEEANN MORRILL
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA O Chimney B
Heat Loss IO As Approved ~ Existing
BTU Rate IO As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
100620
04/03/2003
Other J
Vent J
Use/Nature
of Work
Add furnace and A/C to addition.
Fees: Valuation
Issued By:
$5,175.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$83.00
Date 04/03/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1661 IOWA ST OSHKOSH WI 54902 -0
Telephone Number
(920) 426-8090
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All info~fion after bold categohes must be provided.
Incomplete applicafiom 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
[£ vou are a contractor participating in the Permit fee Account System and have adequate funds..check here
(['you want this processed through your account [-'1
SOB ODm SS Dq
OW R l'q o0.,tt:I'LC-
CONTRACTOR
CHECK [] ALL APPLICABLE
nCATEGORY
gle Family I-1Duplex
FIMulti-Family
F1Rental F1Commercial Ellndustrial
FUEL ~l~Gas F1Electric ElSolid SYSTEM ~[New FIReplace
FIOil FISolar []Other
TYPE
~[t~Forced Air F1Radiant F1Steam .~(,A/C []Vent FIElectric
IS CHIMNEY BEING LINED FINo ~'Yes - LINER SIZE.
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
[]Chimney A
li~[As Approved
Rs Per Plan
~Chimney B
[]Existing
[]Variable
DESCRIPTION OF ALL WORK BEING DONE
'liil~Direct Vent
FINot Applicable
[]Other Value
[]Hot Water []Suppl. []Con. Burner
& MANUFACTURER ~
_.%e.I k ir L
ElOther
VALUE (Including labor and all materials including light fixtures) $ ~ } "~' t,a
ELECTRICAL CONTRACTOR ~ t~Ci~ {~0-.. ~ I~~
~ For applicable projects, an Elec~c ~stallation Vefifi _~ ~ . : ~- : he Elec~cal Con,actor, must be
a~ached. If not 'a~ached or not applicable, a separat~~;is req~i;~ ~O~ ~
9/02