HomeMy WebLinkAbout0102249-HVACOSHKOSH
ON THE WATER
,lob Address 210 DAWES ST
Contractor MONOHAN MECHANICAL
Fuel ~ Gas I
CiTY OF OSHKOSH
HVAC PERMIT-APPLICATI°N AND RECORD
Owner CAMPUS AP
Category 500- Resid
Oil [~-Electric
No 102249
'S OSH INC Create Date 06/17/2003
)ntial-Heating & Ventilating Plan
-- ~ b~ solar
New .... : ~J Radiant
~J Hot Water
System
[~j Forced Air I
E.f Electric J
ChimneyType ~ ChimneyA (.~ Chimney B
Heat Less L~ AS Approved ~'~ Existing
BTU Rate ~1 As Per Plan (..~ Vadable
Use/Nature 'Multi-Family/Baseboard heat, bath fan venting, boiler install.
of Work
[~ _Replace ,
[] Steam
E~ sup¢.
Direct Vent I~1 Not Appli~ble I
(,~ Not Applicable } Value
(.~ Other ] Value
Vent
Fees:Valuation 2yO,yO0 ~¢~/.proval
$0.00 Permit Fee Paid
[] Permit Voided
$310.50
Date 06/17/2003
In the pedormance ofthiswork, I agree to pedormallwork pursuantto rules governing the described construction.
Signature Date
Agen~Owner
Address 177 S ADAMS AVE BERLIN WI 54923 - 0 Telephone Number 800-236-1782
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 information after bold categories must be provided.
Incomplete applications w/Il 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
ff ¥ou are a contractor participating in the Permit fee Account System and have adequate funds, check herr
if you want this processed through your account F~
JOB ADI~SS
CIJ~.CK 1~ ALL APPLICABLE
USE CATEGORY
~Single Family F1Duplex ~l~2Vlulti-Family
IZlRental E]Commercial E]Industrial
FUEL ~ffi'~Gas DElectric [ZISolid
F1Oil F1Solar
TYPE
F1Forced Air I-IRadiant FISteam EIA/C
SYSTEM ,~g~New FIReplace
E]Other
FlVent F1Electric .~otWater F1Suppl.
& MANUFACTURER
IS CIIIMNEY BEING LINED [~'qo r'lYes . LINER SIZE
Note: All chimneys shall be sized per the BTU's being x~ented.
~Con. Burner
CI:ffMNEY TYPE r"lChin-mey A ElChimney B ElDireet Vent fl~l'0ther
ltEAT LOSS IglAs Approved E1Existing I-1Not Applicable
BTU RATE ~t~s Per Plan F1Variable [ZlOther Value
ELECTRICAL CONTRACTOR
D For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, roust be
attached. If not attached or not applicable, a separate Electrical Permit is required.