HomeMy WebLinkAbout0105364-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 831 POWERS ST
Contractor AIR TECH HEATING INC
Fuel
System
Gas J ~J Oil
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner MICHAEL J/HEATH MAHON
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B ~ Direct Vent O Not Applicable I
~) Existing O Not Applicable I Value
~ Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
105364
11/17/2003
Other J
Vent J
Use/Nature SFR/Replace furnace.
of Work
Fees: Valuation
Issued By:
$1,975.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$35.00
Date 11/17/2003
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 1305A INDUSTRIAL PARKWAY FOND DU LAC WI 54937 -2208 Telephone Number
(920) 924-6742
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 Qg hkneh
Division of Inspection Services ® t
P.O. Box 1130 el
Oshkosh, WI 54903 -1130
Phone (920) 236-5050 NOV l
Fax (920) 236 -5084 C3 ./H -- ..lH
'i ®F ON THE WATER
HVAC PERMIT APPLICAT ` &NTY D EV !T o
All information after bold categories must be provided. MENT
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 WI 54903 -1128. Commencing work without permits) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account f
DATE /1-'31)3
JOB ADDRESS 8 3 i Pow ER S �T
OWNER /711 X E !Y) Pt i40n)
f
CONTRACTOR 12 i CC f4 H EA TING /n1 c
CHECK 0 ALL APPLICABLE
USE CATEGORY
tgSingle Family °Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
FUEL (Was ❑Electric ❑Solid SYSTEM CINew E Replace
❑Oil ❑Solar ❑Other
TYPE
1IForced Air ORadiant ❑Stearn DA/C ❑Vent ❑Electric ❑Hot Water DSuppl. ❑Con. Burner
3"
IS CHIMNEY BEING LINED DNo 18Yes - LINER SIZE 351 & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A DChinmey B [Direct Vent ❑Other
HEAT LOSS DAs Approved ❑Existing ❑Not Applicable
BTU RATE DAs Per Plan OVariable ❑Other Value
DESCRIPTION OF ALL WORK BEING DONE E PLACEL Fu (&$C E
VALUE (Including labor and all materials including light fixtures) $ / 9 7.5 00
EIACTRICAL CONTRACTOR
0 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