HomeMy WebLinkAbout0102417 HOSHKOSH
ON THE WATER
1638 1640 NEBRASKA ST
LEHR HEATING AND PLUMBING INC
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 RONALD R HOPPE
Category 500- Residential-Heating & Ventilating
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 IO As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
102417
06/24/2003
Other J
Vent J
Use/Nature
of Work
DUPLEX/Install furnaces and ductwork.
Fees: Valuation
Issued By:
$9,250.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$144.50
Date 06/24/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX36 Wautoma WI 54982 -0
Telephone Number
920-787-3426
OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
No 102417
1638 1640 NEBRASKA ST
LEHR HEATING AND PLUMBING INC
[] New I
L~J Forced Air J ~_J Radiant
~ Electdc I b~ Hot Water
Chimney Type
Heat Loss
BTU Rate
Use/Natureof Work tNEW
Chimney A t~I Chimney B
As Approved (...1 Existing
As Per Plan ~.) Variable
DUPLEX/Install furnaces and ductwork.
Owner RONALD R HOPPE
Category 500- Residential-Heating & Ventilating
E~-~lectric
[] Replace
l_1 Steam I ~ NC I
b__J Suppl. I [~-~n. Burner I
Direct Vent ¢..~ Not Applicable I
~i Not Applicable t Value
(.~ Other I Value
[~olar
Create Date 06/24/2003
Plan
L~ Solid
[] Other
L-J Vent
o
Fees: Valuation
Issued By: h~/~
$9,250.00 Plan Approval
$0.00 Permit Fee Paid
$144.50
Date 06/24/2003
[] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing.the described construction.
Signature ¢..._ ~ Agent/Owner Date
Address PO BOX 36 Wautoma WI 54982 -0 Telephone Number
920-787-3426
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
Oh, THE WATER
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
.If you are a contractor participating in the Permit fee Account System and have adequate funds, check here.
if you want this processed through your account
JOB om ss lg g
OWNER
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
12Single Family l~lDuplex
F1Multi-Family
FIRental
DCommercial
Fllndustrial
FUEL l~3as F1Electric F1Solid
F1Oil [] Solar
TYPE
[]Forced Air FIRadiant [lSteam I-IA/C r-lVent F1Electric
IS CHIMNEY BEING LINED ~No [DYes - LINER SIZE
Note: All chinmeys shall be sized per the BTU's being vented.
SYSTEM
I~INew []Replace
F1Other
[lHot Water []Suppl. [2]Con. Burner
& MANUFACTURER
CHIMNEY TYPE
I-[E~ A T LOSS
BTU RATE
FIChimney A
[lAs Approved
t~As Per Plan
J~tChimney B
[lExisting
[lVariable
[lDirect Vent
Et,Not Applicable
F1Other Value
[lOther
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ q ~-~'E> - d>C.~
ELECTRICAL CONTRACTOR
[] For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02