HomeMy WebLinkAbout0099228-HVACOSHKOSH
ON THE WATER
Job Address 922 ELMWOOD AVE
Contractor BREWER HEATING
Fuel b~J Gas I
System [] New
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Chimney Type ~ ChimneyA
Heat Loss ~ As Approved
BTU Rate ~ As Per Plan
Owner L S MOKLER PROPERTIES
Category 502 - Residential-Both
U Oil I ~ Electric I L~ Solar
[] Replace I
L-J Radiant I L_l Steam t ~ NC I
U Hot Water I ~J Suppl. I ~ Con. Bumer I
Chimney B ~ Direct Vent ~ Not Applicable ~
~ Not Appli~ble ~ Value
~ O~er ~ Value
Existing
Variable
No 99228
Create Date 10/25/2002
Plan
L~ Solid
[] Other
Vent
Use/Nature
of Work
INSFR/
Install HVAC system for new home.
Fees: Valuation $4,490.00 Plan Approval $0.00
Issued By:
Permit Fee Paid
$72.50
Date 12/30/2002
[] Permit Voided
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
City of Oshkosh
Division of Insp~ction Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
All information afte.r bold categories must be~
Incomplete acplications will not be processed. P/~7'
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 t28,
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
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed throuxh your account ~
owner Pl0KC q P aP .2x
CONTRACTOa [l llAJ¢
CHECK [] ALL APPLICABLE
USE CATEGORY
~ZtnSingle Family
FUEL ~OOasil
TYPE
F1Duplex I-1MUlti-Family
I-1Electric l]Solid
IqSolar
F-IRental EICommercial F-1lmdustrial
SYSTEM [~ew EtReplace
I-IOther
t]Vent EIEtectric F1Hot Water EISuppl.ElCon. Burner
IS CHIMNEY BEING LINED ~No ElYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's bei. ng vented.
F1Chimney A
F1AS Approved
FIAs Per Plan
F1Chimney B
F1Existing
IZIVariable
& MANUFACTURER
F1Other
CHIMNEY TYPE
HEAT LOSS
BTU RATE
JiZDirect Vent
F1Not Applicable
E1Other Value
DESCRIPTION OF ALL WORK BEING DONE
-tqtr~gc-
VAi~ (I~i~it~in~'iabor and all materials including light fixtures) $ qq~O --
:.:% ~.'~ i~, :~ :~.:~,,~: ? i-.,~ ~>; .~ ¥;!: ~ ]2.~, ~ L.L
ELECTRICAL Co~RACTOR OR [] Electric Installation Verification form attached(If Replacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors.
3/02