HomeMy WebLinkAbout0103264-HVACOSHKOSH
ON THE WATER
.lob Address 60 70 CHERRY PARK CT
Contractor BREWER HEATING
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 MOKLER CONSTRUCTION LLC
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
103264
05/01/2003
Other
Vent J
Use/Nature
of Work
DUPLEX / Install HVAC system.
Fees: Valuation $7,000.00 Plan Approval $0.00 Permit Fee Paid $110.00
Issued By: Date 08/01/2003
Permit Voided J
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address N8804 N DOUGLAS STREET RIPON WI 54971 -0
Telephone Number
(920)748-6494
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.
DJ'ds/on of h~sp.eclion ,qcrviccs
P.O. 1~<m ] ~30.
O~hkos}4 'WI 54903- ] ] 30
P]xme (920) 236-5050
fax (920) 236-5084
REC E iVE )
[IVAC PERMIT A PPLICA~Cm
~ ~ [ , ~ MEN~ OF
~]] ~Bf~ ~lJO2 after 1)o,d c:~la.mrjr~ ~;1~:~)~,~,,~ ~.~ ~
Ap21icafion(s) and £cc(s) can bc bxmghI lo Ciiy ]]M]~ Room 205 o] mai]ed t0 ]nq)eclion Services, PO Box ] ]28,
Oshkosh WI 54903-t } 28. Commencing work withouI permit(s) will resuh in f~es be ng doubled or $100.00 p]us the
noma] pem, ff fee, which ever is ~eater.
OR
]f wou are a c'onD'ac~or parficipofin~ in fhe PermH fee Accoun~ System and haYe adequate ~nds, check here
if you wan~ ~his.processed [hroug]~ your accoun~ ~
mw . _'b__3_1,_0S_ _
,.l. bCK L-eJ ALI. Al,
USE CATE;GORY
[]Single Fumi]y fl~uplex
U1Multi-Fami]y ~E3Rental
[] Conun emi al
[] hduStfi a]
ii IDSoJa~ COthcr
Noie: A}~ chinmeys sba;: :>e si~cd per the B'I'U's be;.,g v: hied. ~ '~ -
CI)iM:' 'E~~ T. E
~,O,,S
BTU RATE
~As Approved
~As Per Plan
l-tChimn%, B
[] Existing
DVariab]e
EiiSuect Vent
~JTNot App]ic;
I22Other Value
[]Other
DESCRIPTION Oi7 ALL 'WOILK BEING DON~ g~°t-C
form
3/02