HomeMy WebLinkAbout0100206-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1516 CENTRAL ST
Contractor CUSTOM HEATING & COOLING
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 DARRYL L SCHMIDT
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
100206
03/14/2003
Other J
Vent J
Use/Nature SFR/replace furnace with a 60m btu and chimney liner. *EIV form from Hoehne Electric.
of Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$35.00
Date 03/14/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1503 SOUTH MAIN STREET OSHKOSH WI 54902 -0
Telephone Number
(920) 235-7263
City of O~lfl~osh
Division of Imp~'tion S~vi~s
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
All i~omfion a~er bold categories must ~ provided.
~co~lete a~licafiom ~R not be process~.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1 I28. Commencing work without perm/t(s) will result in fees being doubled or $100.00 plus the
normal lgxmit fcc, which ever is greater.
OR
If you arq q contractor partici_~atin~ in the Permit fee Aqc~nd have ad¢¢uate funds, ch¢ck ~.f.~
i w ntthis r ed through youraccq ntu~
C~CK l~ ALL APPLICABLE
FUEL [~<~s i~Elcctric [3Solid ......... SYSTEM ..... E]New
TYPE
ms'em =Vent =E eo o Oaot water SuppLOCon.
IS C~Y BErG L~ ~No ~Yes - L~R S~E ~// & M~AC~R
C~Y TYPE E]Chimncy A VlChirnncy B ~ct Vent
I:IEAT LOSS EIAs Approved EIExisting E]Not Applicable
BTU RATE V1As Per Plan 13Variable [21Other Value
VALUE (Including labor and ail materials including light fixtures) $ __
O~R ~ Electric Installation Verification form attached(lfP, cplacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors.
~/o2