HomeMy WebLinkAbout0105503-HVAC105503
CITY OF OSHKOSH
No
OSHKOSHHVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
DEWEY HOMES
Job AddressOwner
605 WEATHERSTONE DR
Create Date08/21/2003
ContractorAMERICAN HEATING & A C COCategory500 - Residential-Heating & VentilatingPlan
OilElectric
üü GasSolarSolid
Fuel
üü NewReplaceOther
System
üü Forced AirRadiantSteamA/C üü Vent
ElectricHot WaterSuppl.Con. Burner
Chimney TypeChimney AChimney BDirect VentNot Applicable
Heat LossAs ApprovedExistingNot ApplicableValue0
As Per PlanVariableOther
BTU RateValue75m btu
Use/Nature
NSFR/ Install 75m btu furnace and air exchanger.
of Work
Plan Approval$0.00
Fees: Valuation$4,600.00Permit Fee Paid$74.00
Issued By:Date12/01/2003
Permit Voided
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.
SignatureDate
Agent/Owner
Address1129 MICHIGAN AVEOSHKOSHTelephone Number235-8090
WI54902-0
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
P.O. Box 1130 NOV i
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050 r . � o F
Fax (920) 236 5084 PKI
ON THE WATFR
HVAC PERMIT APPLICATION 41/03CCet
All information after bold categories must be provided. f
incomplete applications will not he processed. 11
• 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
you _are a contractor participating in the Pernt Account i
S .ctem and have adequate funds. check here
if you want this processed through rout acct►« nt
DATE //-0-6 —0 �
JOB ADDRESS ‘(.7S
OWNER ` - e4J)e) / /OM es
CONTRACTOR / eic(_c J 1 '-_ 4
CHECK PJ ALL APPLICABLE
(ISE CATEGORY
Mingle Family ❑Duplex DMulti- Family ❑Rental ❑Commercial ❑Industrial
FUEi, ViLias DElectric ❑Solid SYSTEM New DReplace
DOil ❑Solar DOther
TYPE
P itorced Air DRadiant OStcam DA /(' Went DElectric Dilot Water DSuppl.00on. Burner
IS CHIMNEY BEING LiNED 0 DYes - LiNER SiZE _ & MANUFACTURER
Note: All chtnineys shall he sized per the BTU's being vented.
•
CHIMNEY TYPE ❑Chimney A Pk.himney B DDirect Vent ❑Other
HEAT LOSS DAs Approved DExisting lkNot Applicable
BTU RATE DAs Per Plan ❑Variable gbther Value ZreeZ) ,g/c/
DESCRIPTION OF ALL WORK BEING i)ONF, Z,t.t.s/19 -// 9S; v S tet/ lrn
/9A60 /91/2 IC-4 1 L�i - Ao 07 c ro/u,s 7 -
9
VAi;iUE (including labor and all materials including light fixtures) $ '/ O
ELECTRICAL CONTRACTOR OR [ 1 Electric installation Verification form attached(if Replacement)
Electrical installation of new /replacement equipment shall be done by licensed contractors.
Li"
3/02