HomeMy WebLinkAbout0101719-HVACOSHKOSH
ON THE WATER
4590 SHAMBEAU DR
KRAMER PETERSON HEATING & COOLI
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner JASON BORGARDT
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA O 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
101719
03/07/2003
Other
Vent J
Use/Nature NSFR/ Install forced air furnace, ductwork, A/C and B-vent gas pipe venting.
of Work
Fees: Valuation
Issued By:
$5,500.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$87.50
Date 05/22/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 300 W FLORIDA AVE LITTLE CHUTE WI 54140 - 0
Telephone Number
920-687-2665
05/08/2083 10:56 9207882269 : ~'MER AND PETERSON PAGE 03
HVAC PERMIT APPLICATION
lncoTi~pleie appl~mM~ wi]l no: b~ processed,
· Applicutien(s) and fe~la) can b, l~roughttoCityElalI, Room205 orn~aflCdlolnspc~fioaServiccs, lt~.)Box lt28,
Oshkosh WI' ~g03-1128. Conmt~acfl38 work w~lhouz ~rmit(s) ~1 result ia f~ being doubled or $100.00 plm the
normal ~it fee, w~,h ea,er is ~eatcr,
OR
All,t. APPLiC.,~ILIE
USE CJ~'IZ,,GOR!t'
/i~Sm.~[~ Family ClDuptex ~Muit~.,F~l:tib' ~Renta] ~Co~crcial ~dus~
FUEL ~a~ S~'SI'R~I ~cw ~R~placc
~Oil ~Oth~
UJElectn..c O$otid
L'lSolar
orccci A~r ~Radiant ~5Ic~m ~(.; ~'v'cm ~glet:~c [~Hol Water [~uppl. ~CoK. B~rncr
IS C~IMN~Y BEING L~ED ~No ~Yes - LINER ~IZE ............. ~ MA~AC~ ......
Note: ~ii c~tcys silal} ~e s~ I~ time B'I~'s being ~'~.
tlEAT .LOSS ~A* Approved OF, x,stmg ~No~ Applicable
}ITU JL~'rg DAs ~' Plan FJVmiabic D~e/' Value ...............................................
VALUE (lm:ledh~g labor and all materials including Iii:ltl tixtores) ~.;~_~ ~ ~ ~ · 0 C'
E.LE C~'~C,~ CON.F~CI'OR
C For applicable project, an ~lectnc Installalior~ Ve~ficaufm t~n, si~cd by thc Elec~cal Con,actor. must
att'ached. Ii'nor attached or :lot applicebl~. ~l separatc E]ecl~u,.l Permit is zcquir~.