HomeMy WebLinkAbout0099975-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1823 ASHLAND ST
Contractor BREWER HEATING
Fuel
System
Gas J ~J Oil
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner DENNIS J/SUSAN HOPPA
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate IO As Per Plan
Chimney B
~ Existing
~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
99975
02/20/2003
Other
Vent J
Use/Nature SFR/Replace furnace.
of Work
Fees: Valuation
Issued By:
$800.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$120.00
Date 02/27/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address N8804 N DOUGLAS STREET RIPON WI 54971 -0
Telephone Number
(920)748-6494
C~y of Oshkosh
Di¥ision oflnsp~ecfion Services
P.O. Box 1130.
Oshkosh, WI 54903-1 ~ 30
Phone (920) 236-5050
Fax (920) 236r5084
HVAC PERMIT APPLICATION
· Ali- ihformation after b°Id categories mast be provided.
Incomplete applications will not be processed.
O/HKO/H
Application(s) and fee(s) can be brought to City ltall, 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 pem~it 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 through your account
CHECK t~ ALI, Ai"2L'~CABLE
USE CATEGORY
[~ngte Family
FUEL
FEB 2 5 200J
DEPARTMENT OF
l]DUplex [lMulti-Family I-]Rent~l ~o~gJe~}a~ ENTl]ladustrial
~[ii(Gas LqElc,'.tric []Solid SYSTEM DNcw ~?.epl~e
TYPE
A~r [.,Racnant LIS~emn UI2s, C [-ZVent ~Electric kqtlot Water ~S'~(ppl. DCon. Bur~;ar
IS CHI?[NEY BEIF: ~; LLN~ED'Jg{~'~o EYes - :_.INER SIZE
Nc i e: All chin~eys shall be s/zed per the BTU's bei?s yen!ed.
__~ ..... & MAN( YFACTU/.'LER
~4:5A1 LOSS
BTU RATE
IZ]Chimney A
FtAs App:ovcd
~dks Per Plan
~Chmmey
[] Existing
glVariable
~q'Direct Vent
]kl%'ot Applicable
UIOther Value
[lOther
DESCmrT~ON or ALL WORK BEING DONE
VA~]UE (!ncl,'*ding labor and all ?.,aterials h:cludi~g light fiyturc;)
ET.ECT~CAL CONTtLXCTO~ O.R ~ :~lectric In 4alta~,n Verifirx~ion fo,m at;ached(!f Replaccmen0
Electric,;; insicd/atiox ,;f nem<'-eplaceme, t ~quct,en~ fl:all be do ~e 55, lice:~sed co:~tracrors.
3/02