HomeMy WebLinkAbout0098524-HVAC (furnace) SHKOSH
ON THE WATER
Jot) Address 932 N SAWYER ST
Contractor CUSTOM HEATING & COOLING
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner JEROME T/APRIL HINKE
Category 500 - Residential-Heating & Ventilating
Fuel ~J Gas I b~ Oil t ~ Electric I ~1 Solar
System [] New I [] Replace
L~J Forced Air J ~ Radiant I L--J steam
~J Electric ] ~J Hot Water I U Suppl.
Chimney Type E~ Chimney A (.~ Chimney B ~t Direct Vent (~) Not Applicable I
Heat Loss ~ As Approved ~ Existing ~I Not Applicable I Value
BTU Rate ~ As Per Plan ~ Vadable ~1 Other I Value
No 98524
Create Date 11/08/2002
Plan
~'-~lid
[] Other
L-J vent
Use/Nature SFR/Replace 80m btu furnace & ductwork. *An EIV form was not submiited, so a seParate electrical permit is required.
of Work
Fees: Valuation $3,300.00 Plan Approval ' $0.00 Permit Fee Paid
Issued By:
[] Permit Voided ]
$54.50
Date 11/08/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1503 SOUTH MAIN STREET OSHKOSH WI 54902 - 0 Telephone Number
(920) 235-7263
ity of Oshkosh
D;,vision of Inspechon Services
P.O, Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVED
NOV 0
DEPARTMENT OF
HVAC PERMIT It , I III; LOPMENT
All reformation after bold categories must be provided.
Incomplete apphcadons will not be processed.
Apphcation(s) and fee(s) can be brought to CiVy HalI, Room 205 or mailed to inspection Sermces, PO Box ! 128,
Oshkosh WI '54903-i 128. Commencing work without permit(s) will result in fees being doubled or $100,00 plus t?:,c
normal permit fee, which ever is greater.
OR
~ are a contractor partic___ipating in the Permit fee .4ccou_nt System and have adeq~ck here
i~Y°u want this processed throu__g_h Four account F~ -
DAT~ ~--
r"lRental FJCommercial Ellndustdal
FUEL 4~s EIEI e~tric [3Solid
EIOil E]Solar
SYSTEM ~New l~lace ..
E]O~h~r
TYPE
ElForced Air F1Radiant ElSteam EJA/C ~Vent F1Electric FlHot Water FISuppl.~Con. Burner
ISCItlMNEYBEINGLI~D~/oo~Yes -LLNERSIZE ~''''~ &MANUIFACTURER
Note: All clurrmeys shall be sized per the BTU's being vented,
CHIMNEY TYPE
ItEAT LOSS
BTU RATE
~Chirrmey A
r-lAs Approved
~As Per Plan
F'lChimney B
F'!Existing
12 variable
DESCRIPTION OF ALL WORK BEING DONE
~trect Vent EIOther
~Not Applicable
L-]Other Value . ~.¢=~
ELE~C.~
CO~T~ACTO~~ OR ~' Electric InsUll.tl~n Verification form anachedCfR~lacc,~m)
Electrical insta#al~on of n~'/r~otacement ~uipment $hal[ ~ d~e by h~en¢e~' co~acrorx
'' 3/02