HomeMy WebLinkAbout0102805-HVAC(~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 650 GROVE ST Owner DEWEY HOMES INC
Contractor AMERICAN HEATING & A C CO Category 500 - Residential-Heating & Ventilating
Fuel ~J Gas J ~J Oil b~ Electric ~J Solar
System ~J New ~ ~J Replace ~ ~J Other
~J Forced Air I ~J Radiant L~ Steam ~J A/C
~J Electric I ~J Hot Water b~ suppl. ~J Con. Burner
Chimney Type I~ Chimney A O Chimney B ~ Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~ Other I Value 75m btu
No
Create Date
Plan
~J Solid
Vent
102805
04/09/2003
Use/Nature NSFR/ Install 75m btu furnace and air exchanger.
of Work
Fees: Valuation
Issued By:
$4,600.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$74.00
Date 07/14/2003
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
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 APPLICATIO
AIl informatio~ after bold categories must be provided.
Incomplete appiicatiogs will not b¢ processed.
O/HKOSH
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
l£vou are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed throuf~h ¥onr account [~
JOB ADD. SS
CHECK [] ALL APPLICABLE
USE CATEGORY
~(Single Family V1Duplex I-lMulti-Family
EIRental UlCommercial Fllndustfial
FUEL J~as F1Electric EISolid SYSTEM ~g~ew FIReplace
FIOil [2]Solar F1Other
_oPE
rced Air E]Radiant r-lSteam VIA/C j~ent []Electhc F1Hot Water F1Suppl. V1Con. Burner
IS CHIMNEY BEING LINED ~g/~o F1Yes - LINER SIZE &
MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE FIChimney A ~2himney B D~irect Vent F1Other
HEAT LOSS FIAs Approved 12]Existing jONot Applicable
BTU RATE F1As Per Plan F1Variable ~ther Value
DESCRIPTION OF ALL WORK BEING DONE ~-/O..q/~// ~CO/)d)
. .,vg .,'.-1(,¢.,,.. Co.o. I5 -
VALUE (Including labOr and all materials including light fixtnres) $
ELECTRICAL CONTRACTOR
OR [] Electric Installation Verification form attached(If Replacement)
Electrical installation of new/replacement equipment shall be done by h'censed contractors.