HomeMy WebLinkAbout0100518-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1224 HAZEL 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 MR/MRS STANLEY SCHUSTER
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
100518
03/21/2003
Other
Vent J
Use/Nature SFR/Replace furnace (80m btu), central air (30m btu) and add ductwork. *EIV form from Hoehne Electric.
of Work
Fees: Valuation
Issued By:
$4,200.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$68.00
Date 03/31/2003
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
P.O. Box 1
Phone (920) 23&5050
i lmomaon an~ bold ca~go~es ~st be proviZ& Inco~lctc applica~om ~I1 not be processe~.
~ Application(s) ~d f~(s) c~n bc ~oa~ht to Ci~ Hall, Room 20~ or ~iled to ~s~ction $~icc$, PO Box 112~,
Os~osh ~ ~4~3-112& Co~cin~ work wi~out pc~it(s) will ~sult in fccs ~ doubl~ or $1~.00 pl~
noel p~it f~e, which ev~ is ~cat~.
..... OR
~~ contr~r r ici atin i t' e Per~it feq Xcc~nt S~nd:have adeeuate funds,
OW~R ~~
~ingle F~ily UDuplex .....
~1~ GOth~
T~E
~Fomed. A~ ~di~t ~S~m ~C ~V~t ~Elcc~c ~Hot Wat~ ~Suppl.~Con. B~~
IS C~Y BErG LI~D ~No ~Yes - L~ S~E ~' ~ M~A~R
Note: ~1C~ys s~ll ~ s~d Per ~e B~'s berg Vetoed.
C~Y ~E ~imey A ~~ey B ~DireOt V~t ' ~0~
~T LOSS ~ Approved ~sfing ~Not Applicable
B~ ~' :: ~As Per Plan ~V~able ~0~ Value