HomeMy WebLinkAbout0102126-HVACOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
985 BAVARIAN CT
THOMPSON HEATING AND COOLING S
L~J Gas I LJ Oil I
[] New I
L~J Forced Air j ~ Radiant j
Id Electric I [] Hot Water 1
Chimney Type ~-~ ChimneyA ~ Chimney B
Heat Loss ~.~ As Approved ~ Existing
BTU Rate ~ As Per Plan ~ Variable
Owner RONALD M/BONNIE KRIZAN
No 102126
Create Date 05/08/2003
Category 502- Residential-Both Plan
~.J Electric I [] Solar I So~[~ So ~
[] R__e?!_a.c..e ........ ] [] Other
L-J Steam I L-J NC ] ~-Vent
bJ Suppl. I ~ Con. Burner I
(.~ Direct Vent O Not Applicable I
~I Not Applicable I Value 0
~t Other I Value
Use/Nature
of Work
IFP,/Replace existing duct, add heat/AC to remodel.
Fees: Valuation
Issued By: ~
$2,300.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided :
$39.50
Date 06/11/2003
Date
Address 901 OTTER Oshkosh WI 54901 -0 Telephone Number
920-426-3095
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-I 130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ON TH[ WATER
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 Wl 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
!£ you are a contractor participating in the Permit _fee Account System and have adequate _funds, check here
i£ you want this processed through your account FI
CHECK [] ALL APPLICABLE
USE CATEGORY
~Single Family nDuplex
VIMulti-Family
[2Rental nCommercial nlndustrial
FUEL ~l[Gas nElectric nSolid SYSTEM VINew J~Replace
nOil nSolar F1Other
ced Air []Radiant []Steam [] A/C nVent
IS CHIMNEY BEING LINED ]~Xlo []Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
nElectric
[]Hot Water []Suppl. []Con. Burner
& MANLrFACTURER
CI-IIMNEY TYPE nChimney A []Chimney B
ItEAT LOSS [lAs Approved []Existing
BTU RATE [lAs Per Plan [lVariable
DES. CRIPTIQN OF AL.L WORK BEING DONE ~~-P~--~'-
[]Direct Vent []Other
[:]Not Applicable
[]Other Value
VALUE (Including labor and all materials including light fixtures) $ ~a~cc3 .- '~:'
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