HomeMy WebLinkAbout0104846-HVACOSHKOSH
ON THE WATER
.lob Address 2391 SHORE PRESERVE DR
Contractor BREWER HEATING
Fuel ~J Gas ~ ~J Oil
System ~J New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner JACK NELSON
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B O Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
104846
08/11/2003
Other J
Vent J
Use/Nature NSFR/Install HVAC system for new home.
of Work
Fees: Valuation
Issued By:
$3,900.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$63.50
Date 10/20/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address N8804 N DOUGLAS STREET RIPON WI 54971 -0 Telephone Number
(920)748-6494
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
()~d~koslg WJ 54903-]
Phone (920) 23655050
fax (920) 236-5084
HVAC PERMIT APPLICATION
AP2]icador~(s) and 5re(s) can be brougbl lo CJly 1Jail, Room 205 o~ ma/led lo ]nspcclJon Services; PO Box ] 122,
Oshkosh WI 549034 ] 28. Commencing work wiflmul )ermff(s) will resu]I in fees being doubled or $100.00 plus
no~a] pemfil fee, wNch ever is ~eater.
OR
~u are a c'o~2l~clor parlici~atin~ i*~ lhe ~ermil lee Zccou;z~ SFslem ond have adequo~e ~tnds. check here
~)~ou wanLxhis2r~,¢es,ed zhrou~h vo~r accoun~
ALL AI'PLfCA. BLE
CATEGORY
l~ing]¢ F::mi]y E3Duplex E3Mulfi-FanSi]y E~Renta]
fqConmtercial [3Industrial
FiOj] llSoh:,
K :0thor
f~l? epl ace
)Q:ox'ccd Air L. :adSmt ~5~,,-,.n'~AY£ tLqVc,t ~; cc!m: D] ¢~:t Wa:ur ~Suppl.[JCoJ, Burner
IS C);th~i~l~y LE1N(: L., ..,.D ~o l 2Yes -
No~.: A? ch/n~ey:~ sh::;~ be si~cd per Ihe B't'U's B%.:g vetoed.
Cf:) [M .. 'E¥ T.'Y 'E
.... \ ~O,,S
BTU RATE
[]fi, s Approved
~As Per Plan
-JCtfimncv B
iDEx/sting
DVariable
~);~ect Vent
F~NoI ,^,t)t)]ic: blc
EtC&er \ a]ue
DESCRIPTION OF ALL WORI( BEING DONE
t30'&cr
2':1,17 ?TI~ CgL CON"