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HomeMy WebLinkAbout0104420-HVAC (furnace & a/c)OSHKOSH ON THE WATER .lob Address 18 W BENT AVE Contractor CUSTOM HEATING & COOLING Fuel [~J Gas ~ System ~J New CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Oil Forced Air I ~J Radiant Electric I ~J Hot Water Owner WILLIAM R/SANDRA E SMITH Category 502- Residential-Both L~ Electric Replace L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type I~ ChimneyA ~ Chimney B Heat Loss I~ As Approved ~ Existing BTU Rate I~ As Per Plan ~ Variable Direct Vent Not Applicable Not Applicable Other Value Value No Create Date Plan L~ Solid 104420 09/12/2003 Other Vent J Use/Nature SFR/Replace furnace 80m btu and install 2.5T A/C. *EIV form from Hoehne Electric. of Work Fees: Valuation Issued By: $3,747.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $62.00 Date 09~26~2003 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address 1503 SOUTH MAIN STREET OSHKOSH WI 54902 -0 Telephone Number (920) 235-7263 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. City of Oshkosh Division of Inspection Services v.o. ~ox u30 Os~osh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 .Q~ KO/H HVAC PERMIT APp~j~j9 ~n i~o~aon ~ft~ Uo~d ~mogeV~~ ~n~o~t~ ~pph~o~ win ~o~ Application(s) ~d fee(s) c~ be brought to Ci~ Hall, Room 205 or roiled to hspec~8~ces, PO Box 1128, Os~osh WI 54903-1128. Comencing work wi~out pemt(s) ~11 result in fees ~g doubled or $100.00 plus the nomal p~it fee, whch ever is ~eat~. OR I[Fou are a contractor participating in the Permit fee ~ccount Svstem and have adequate fund& check here i fvo~ want thisprocessedthro~h vo~raccou~t ~ ow~ CONT~CTOR C~CK ~ ~L ~PLIC~LE USE CATEGORY ]~l~Family F1Duplex lZ]Multi-Family I-1Rental I"lCommercial Fllndustrial FUEL ~g~as l"lElectrie F1Solid SYSTEM []New I~l~eplaee F1Oil l'lSolar F1Other TYPE ~Forced Air []Radiant I~Steam []A/C [qVent []Electric IS CHIMNEY BEING LINED FINo r'lyes - LIN-ER SIZE ~ Note: All chinmeys shall be sized per the BTU's being vented. CHIMNEY TYPE HEAT LOSS BTU RATE F1Hot Water []Suppl. & MANUFACTURER []Chinmey A []As Approved F1As Per Plan []Chimney B []Existing []Variable ~l~rect Vent []Not Applicable []Other Value []Other []Con. Burner DESCRIPTION OF ALL WORK BEING DONE VALUE (Including labor and all materials including light fixtures) ~ © For applicable projects, an Electd[ InStallation Verification form, si, ghe-"a by the Elec.~ical~ontractor, must be attached. If not ag.~ not applicable, a separate Electhcal P~-jl~i.s re~rq~..