HomeMy WebLinkAbout0100268-HVACOSHKOSH
ON THE WATER
.lob Address 4015 SHARRATT DR
Contractor BREWER HEATING
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner US LAND DEVELOPMENT LLC
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
100268
10/17/2002
Other J
Vent J
Use/Nature NSFR/Install HVAC system in new home.
of Work
Fees: Valuation
Issued By:
$3,800.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$62.00
Date 03/18/2003
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
cify of Oshkosh
Divisi(,n of Jnsl~ection Services
P.(). P,()× ] i30.
Oshkosh~ WI 54903-] ] 30
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All kl£ormation after bold cae?rk~s mas~ 1'~,,. provided.
]ncomp]( lc al-)p}~catJ(m:; will not bc processed.
OI.i ~ HF \q/','t Fk
Application(s) and fcc(s) can Lc brought to City Hall, Room 205 or mai]ed to Inspection Services, PO Box 1128,
Oshkosh WI 54 903-1128. Commencing work wkhout pennff(s) wilt result in fees being doubled or $ ] 00.00 plus the
no~a] pe~it fee, which ever is ~eater.
OR
you are a contractor parlicipaling in the Permit fee Accoun~ Svslem and hove adequate funds, check here
if you want this processed through your account ~
JOB A.DDt ESS
/MC
ALL Al' ~'L~CA x5 ~ ~E
USE CATEGORY
.:.~ingle Family U]Duplex
WiMulti-Famiiy
FDRental tDConmxercial IZth~dustfiat
[7i Oil ID So]~:, E~ Other
[] R epj ace
Now: Alii ch/nmeys shall :)e sized per the BTiJ's bc:.~g vcl~led.
& MA .~OJ/," CT( V~ER
Cf; [M' r EY TY .'E
BTU RATE
DA.s Apl)roved
IDAs Per Plan
LtChimnev B
ClExisfing
DVar/able
'~:~i cect Vent
[-]Not Apphc. olc
[2Other Value
[3Other
DESCRIPTION OF ALL WORK BEING DONrE
VA1 .UE (~, ncb_ ~in;'.. 'ab.,,- ,qn.' al! ,'?atc:.'!als :~,,'tu, ~;.. ~,,:, "gh; fix:.,res) . ,_ ~0~
................ · llor ~o)..1 .li, }lettFRc:;acc,
)"tocfr/, ',;1 ins.t"J~otic,. of nc',.,,,6'eldr 'cme.':r equO;;..,'hi d. oll b, done J7 lic,".~., ed
3/02