HomeMy WebLinkAbout0100891-HVACOSHKOSH
ON THE WATER
.lob Address 4090 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
100891
02/17/2003
Other
Vent J
Use/Nature NSFR/ New single family quad level with 3 car attached garage 11' x 12' patio.
of Work
Fees: Valuation
Issued By:
$3,500.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$57.50
Date 04/21/2003
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
Cily of Oshkosh
,,,DivisiOn of]nsp~¢lion Services
P.O. B<)× ] i30.
Os]fl~osh, WI 54903-] !30
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
.All Jnforrnn'~Jon after bOM cai?,nrjes ;-nt]sl Ln provk]ed.
]ncomp]~ le applJc:alJons will no1 be processed.
01 d 'I {..i F 'W/',~ 1:f4
Application(s) and fee(s) can be brought to CiIy J~al], Room 205 or maiJed lo inspection Services, PO Box 1 t28,
Oshkosh WI 54903-1128. Commencing work without pem~it(s) wilt result in fees being doubled or $t00.00 plus the
normal permit fee, which ever is greater.
OR
]f vou are a contractor participating in the Permit fee Accoun! $~stem and haYe adequate funds, .cheek here
if you want this processed through your account ~
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USE CATEGORY
l~ingle Fzmlily
E]Duplex t-lMulti-Family F__JRental Ut Conmaerciat
Uthxdustfi al
FUIf'=, _~Gas '2" .... ' ':"
t-10it lDSoh~, [7].:Other
Jl::~-'orccd \ir L, ~adiant I5 S1cnm EIA/C ~Vc:~t [2,. ec.:~. ,~<; t231 ~,:t Yv'a :er [] Suppl. F3Con. Burner
IS C? :lhSNEY ii: EIN (: LI~'-. I, LD [-J~O I JYes - Lfh:i£R ~4Zi';
No~e: A]', chinmeys shr::i :~e sized per the BTU's bc?g venled
CI:~ [M :' EY TY.
BTU RATE
f..-~ Ch/nmey
~A.s Ai.-.p'r ev cd
IZlAs Per Plan
l_tChimney B
~ Ex/sfin g
l]Variable
~ L2h-ect Vent
~Noz Appljc~,bit:
g]Ofl~ei' Value
~Other
DESCRIPTION OF ALL WORK BEING DONE
VA} .UE (hml~ dinlr ~abc.,' a~-~ al!, ,ale>f,q. ls h~ct'a F,ig Fghl fix i.,res) ,_..~5-r~,,' --
_(}[~ 17 Ete,:i. ;c h:.4alh, fion ', crt fi,. =~io~ form ';It:,..'M t
FZectri,',,? ins?.qafio,' of ~w,:,,g'e];!e 'c~me::; equip?..,,lll .~/.nlt l.,, :?oae
3/02