HomeMy WebLinkAbout0101435-HVAC (a/c)(~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 150 W 22ND AVE Owner JAMES M/SUZAN E MEYER
Contractor TENTH STREET STATION INC Category 501 - Residential-Air Conditioning
Fuel ~J Gas J ~J Oil L~J 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 ~ Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~ Other I Value 2.5 ton a/c
No
Create Date
Plan
~J Solid
Vent
101435
05/13/2003
Use/Nature SFR/Replace a/c and add ductwork.
of Work
Fees: Valuation
Issued By:
$2,700.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$45.50
Date 05/13/2003
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
, .FRO~ :TENTH STREET STATION, INC. FAX NO. :920-236-0150 Mag. 13 2{~3 08:32AM P2
City of Oshkosh
· Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-$050
Fax (920) 236-5084
OffH
HVAC PERMIT APPLICATION
All izfforrt~lion after bold categories must be provided.
Incomplcts applications will not be processed.
· Application(s) and f~(s) can b~ brought to City Hall, Room 205 or maflect ~o Inspection Sa, vices, PO Box ! 128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees b~g doubled or $100.00 plus the
normal permit fcc, which ewr is greater.
OR
If vou are a contractor particinati~ in the Permit _fee Account System a~d have ~deqFate fund$~ check her_e
if y(~u want thi~ ptocex$ed through your account [~
CI~-CK ~ ALL APPLICABLE
USE CATEGORY
I~Single Family ClDuplex
l'3Multi-Family ClRental
OCommetcial
IZlIndustrial
FUEL OC.~ l~Blectric I=lSolid
r-lOll OSolar
TYPE'
OForced Air ElRadiant F'lStcam ~A/C [3Vent
SYSTEM
[3Electric
ElNew IgReplace
OOther
ClHo~Wa~er OSuppl. EICon. Burner
IS L3UMNEY BEING LINEI}~No O,Y,~s - LINER SIZE
Note: All chimneys shall be sized per ~e BTU s being ventcd,
CIIlMNEY TYPE OChimney A EIChimney B
HEAT LOSS CAs Approved ElExisting
BTU RATE I-lAm Per Plan OVariable
DESCRIPTION OF ALL WORK BEING DONE
& MANUleACTURER~
[3Direct Vent
~Not Applicabl~
VALU~ (Imelnding labor nnd all materials including light fixtures) $ 2. 700. cc: ¢o
r Ct CAr
E1 For applicable projects, at'Electric Installation Verification form, signed by the Elec~ical Contractor, must
attached. If not attached or not applicable, a separate Electrical Permit is required.