HomeMy WebLinkAbout0101538-HVACOSHKOSH
ON THE WATER
.lob Address 2405 HEARTHSTONE DR
Contractor BREWER HEATING
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 KURTA KOEPPLER
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 ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
101538
03/24/2003
Other J
Vent J
Use/Nature NSFR/ Late Permit / Install HVAC system for new home.
of Work
Fees: Valuation
Issued By:
$4,800.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$77.00
Date 05/16/2003
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
Division of h~spyclion Sm~viccs
P.O. ]'~)~ ] ]30,
Oshkoslg W] 54903-] 130
])hone (920) 236-5050
Oshkosh WI 54903-1128. Commencing work without pemail(s) ,z,flt result in fees being doubled or $100.00 plus the
normal pem~it fee, which ever is greater.
]f vou are a con~rac~or partici.patin~ in the Permit fee dccoun! System and hme adtdquate funds, check here
),ou wahl Ibis processed ~hrough your account
DRcntal tDCommerci, at nlndustfiat
E~,L)thcr
qq.oo
[']RepJace
t~:Forced Ah' [~ ~,adiant ~Stcc:in~A/C ~Vc~it ILL .cc!:.J<~ ~] v:t W~::cr E]Suppl.[2iCo.r:. Burner
tS C~,,~.~ ~,.~,,.~-a~ ,~'v,.~ ': - ~e~,N~, ;,~.~. ,.' ", LJ?< .~¢D 1574o t3Yes - Lib..' ER ,.:IZE .. ,~:" .M s ,~d.i/," C']'i Vl EP,
Note: A}J chinmeys sba i.! oe si?cd per tha BTU's t)%, ~g vcnled.
Cli~ [M: ::EY TY :/E
!. LOSS
BTU RATE
~ Chinmey A
gas Approved
DAs Per Plan
l_2dm~me) B
[2Existing
~Variable
~Direct Vent
Fl]qot Applic:'. ble
FA Other Value
[3Off, er
DESCRIPTION OF ALL WORK BEING DONE 7t/hq4 6..
3/02