HomeMy WebLinkAbout0103372-HVACOSHKOSH
ON THE WATER
Job Address 2727 CLOVER ST
Contractor
Fuel
System
AMERICAN HEATING & A C CO
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Iv'l Gas
[] New
b~ Forced Air
Electric
Chimney Type ~ ChimneyA ~1 ChimneyB
Heat Loss ~ ) As Approved ( ~ Existing
BTU Rate ~..) As Per Plan (~.) Variable
No 103372
Owner DEWEY HOMES Create Date 06/06/2003
Category 500 - Residential-Heating & Ventilating Plan
oil I I I Electric I I I Solar
E~_ Replace J [] Other
Radiant J b~ steam I LJ NC
HOtwater ] [ ISuppI' I I lC°ri'Burner I
~ Direct Vent ~ ~ Not Applicable
O Not Applicable I Value 0
O Other ] Value 75m btu
Use/Nature INSFPJ install 75m btu furnace and air exchanger.
of Work
Fees: Valuation $4,600.00 Plan Approval $0.00 Permit Fee Paid $74.00
Issued By: Date 08/07/2003
[] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1129 MICHIGAN AVE OSHKOSH Wi 54902 -6437 Telephone Number
(920) 235-8090
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.
While the City of Oshkosh has no authority to enfome 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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
AU¢ 0 6 200 x ,/
HVAC PERMIT APPLICATION ' VLLOpi iENT
All info~tion after bold categories mu~t be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City Hail, 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 $I00.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor particitLq_tin£ in the Permit fee Account System and have adequate funds, check here
if you want this processed throu.gh your account [~
JOB ADDRESS ~'~27
CONT CTOR ,b.,fi' LC ,o
CHECK [] ALL APPLICABLE
SE CATEGORY
ingle Family F1Duplex [-1Multi-Family F1Rental IZlCommercial Dlndustrial
FUEL ~r~OaSil [3SolarF1Electric UlSolid SYSTEM }ll~lqe W[3other FIReplace
~oPrEced Air F1Radiant t-ISteam [3A/C~ent DElectric [ZIHot Water [3Suppl. UlCon. Burner
IS CHIMNEY BEING LINED ~I~/o r-lyes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE [3Chimney A [~.Chimney B F1Direct Vent F1Other
HEAT LOSS r-lAs Approved [DExisting I~--Not Applicable
BTU RATE [3As Per Plan F'IVariable ~ther Value '~'~ff/F'D 77qJ
DESCRIPTION or ALL WORKfllEING DONE .~,o.-~ 7t.,q// ,~//,:~"O ,~..~G/
VALUE (Including labor and all materials including light fixt,,res) $ qd~''J'~'
ELECTRICAL CONTRACTOR OR [_] Electric Installation Verification form attached(lfReplaceraent)
Elect~cal installation of new~replacement equipment shall be done by licensed contractors.
3/02