HomeMy WebLinkAbout0101940-HVACOSHKOSH
ON THE WATER
.lob Address 2630 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
101940
10/25/2002
Other
Vent J
Use/Nature NSFR/ LATE PERMIT/ Install HVAC system for new home. *Fee waived.
of Work
Fees: Valuation
Issued By:
$4,200.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$68.00
Date 06/04/2003
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
O.~;N¢o:d~, Wt 54903- ] ] 30
Phone (920) 236-5050
Pax (920) 236-508,1
RECEIVED
JUN 0 3 2_O03
DEPARTMENT ,
( )t,J 1 ~tl V/A1 Fle
Al~j')licatioNs) and £cc(s) car~ bc bronghl Io Cily J]al], Room 205 o~' majJed to ]nspecl/on Services, PO Box ] 128,
Oshkosh WI 54 903-] 128. Commencing work whhout permft(s) will result in Yees bring ~oub]ed or $100~00 plus the
no~a] peril fee, which ever fs ~eater.
OR
]f ~ou are a con~rnc~or parNcipa~in~ i~ ~he Permi~ fee Accoun~ System a~d hoYe adequore fio~ds, check here
if You wan~ Ibis' process'ed ~hrou~h your accou~ ~
DATE
USE CATEGOI?.Y
dL~J~'ingle F: m.i]y IZlDuplex
FiMulfi-Family
EJRenta] I-1Conmaerciat t-tl2~dust~Sal
.F'O1CiF: /~573a s h-q}::iec~,Sc 12] So.,, · ~YS.".i'~!:vI I-3N ew F'JR eplace
z'ced ,\h- L. ,'.adi:mt l.~SR:zm [~8~/(: llVCjd~ Pi, GC,!.:i', t~] ;';t YGLh21- [3Suppl.fsCon. B~m~cr
Nob.: A }', chinmey:¢ sha~' ',*e si:~ cd per tiaa B'I
BTU RATE
k'-J A $ Appreved
IDAs Per Plan
LdChimr, cy B
~l~xisting
IDVarJable
DESCRIPTION OF ALL WORK BEING DONrE_
~rect \7ent
[tNot ApplSc: ble
8Other Value
3/02