HomeMy WebLinkAbout0100743 HOSHKOSH
ON THE WATER
.lob Address 916 MOUNT VERNON ST
Contractor A-1 HEATING & A/C INC
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 RICHARD A/JENNI REITZ
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 IO 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
100743
04/10/2003
Other J
Vent J
Use/Nature SFR/Replacement furnace.* 4-17-03 added.... Homeowner EIV form attached. MC
of Work
Fees: Valuation
Issued By:
$1,956.25 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$35.00
Date 04/10/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address W8078 HILLCREST COURT HORTONVILLE WI 54944 -0
Telephone Number
(920) 779-8838
OSHKOSH
ON THE WATER
.lob Address 916 MOUNT VERNON ST
Contractor A-1 HEATING & A/C INC
Fuel
System
Gas J ~J Oil
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner RICHARD A/JENNI REITZ
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss IO As Approved
BTU Rate I~ As Per Plan
Chimney B
~ Existing
~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
100743
04/10/2003
Other J
Vent J
Use/Nature SFR/Replacement furnace.
of Work
Fees: Valuation
Issued By:
$1,956.25 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$35.00
Date 04/10/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address W8078 HILLCREST COURT HORTONVILLE WI 54944 -0
Telephone Number
(920) 779-8838
All fiald~/information
ED]~IC
~X~Y
8A~B OF ~:
C~TMN~Y &
nnlet: be provided,
C0~ERCIAL
~0LID
iNDUSTRIAL
CON,
NOT APPLICAt~LR
contractor~,
So ~o $1,00o-0o .................................... ~ ..... ~:_= .......... ~2o,00
81,000,01 to ~10,000.00 ............ g~,.--~ ............. ~20.00 tot firg~
Szo,0oo.o~ to $15,ooo,oo ........... ~...~~ ..... ~ ........................ $1~S.O0 for first
$10,000,00 pl~"]Sl.,O0~lO0.O0 ~a~tion o~ part
Over 825,000.00 ............................ ~_~;~~ .............. 8305,00 plus 80.60
~8100.00 ~[~i~ or part the~
· ~it pa~ent with application.__F~lurq,.$O.py ~n 30 hfs will result
fees bein~ d~led or $100.00 pl~. She ~1 pemiC ~ee, ~i~ e~r is