HomeMy WebLinkAbout2001-HVAC ��J CITY OF OSHKOSH NO 9113
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3850 WOOD DUCK CT Owner Create Date �0/24/2001
Contractor BREWER HEATING Category Plan
Fuel '✓j Gas Oil Electric Solar [ Solid
System u. New _ _ ._ _ [� Replac [� Other
� Forced Air Radiant Steam �, A/C '�, Vent i
L Electric i Hot Water I � Suppl. �_ Con. 8umer I
Chimney Type '� Chimney A Chimney B Direct Vent � Not Applicab�
__ _.
Heat Loss As Approved Ezisting � Not Applicable � Value
BTU Rate As Per Plan Variable � Other Value 90M btu
Use/Nature NSFR/Install HVAC sysytem
of Work '
Fees: Valuation $4,860.00 Plan Approval $0.00 Permit Fee Paid �78.50 'I��
Issued By: k� Date 11/05/2001
'�] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
AgenVOwner
Address N8804 N DOUGLAS STREET RIPON WI 5497� -0 Telephone Number (920)748-6494
C�� Livisi.on of InspEcLior.� Ser'vicc-= ''�,
215 C.^.uich Avenuc
i
sV.O. 30>: 1130
J/IJ , �ll� O&"):os1'i, Y:I 59 903-11 3G
�,�.��'- ..r.��� Yar j� (920) 236-50&9
Phone (520) 23G-504& -
HVAC PERMIT APPLICATION
Rll fields/information after i�old cstEaories musc be providec.
Incomplete zpp].:.ca�-:ons y:_11 not i�e processed.
DATE I U -�� �U I
JOB F.DDkESS 3 ,�j�� ��(� ��(�( S I •
OWNER L� I �J�A7� �O� ��fAUICI ��J� � � d,�O
CON'I'RJ:CTOR ,f)n(��,� � ��I I iV
CIRCLE ALL APPLICABLE
USE CFTE30RY Si1QGLE FA/1TLY 7�liFS._F:..' ;�5*,?' ^_I-:'p.i;�",
� �_ CviJi�1BRC1i;L 1NDUS�RIAL
FUEL GHS OIL ELECTRIC SOLAR SOi,ID
SYSTE?d N W ' RB�LACE O=HER
TYPE ORCED A . RF�IPI�TT STE�✓ F/C� V_,t�T
ELECTRIC HOT WATER SUPPL. CO��. Biik��ER
IS CHSMISEY BEING LSNED � - LiNER SIZB P7AIQUFPC_�UBER
Note: All chimneys shall be sizec per che B_U' s being �aen�ed.
CHSNLv'�3Y TYPE `
—
—=1--�,
CH7MN�Y P CHIMNEy 3 G_D7.-RECT VE?a�?'--� � OTNER
HEAT ;OSS AS APPROVED EXISTING NOT F.PPLICF3�•�
BTU I�TE AS aE�R PLF,iC� VPRIAB��B O_'�SRVP_Lu-� �i�.,,�u� +S"��
NATURE OF WORK: �
VALUF_ (Including labor and materials) $ ��f3�p'
ELECTRICAL CONTRACTOR �
Elect_�ical installacion of ne�r/replacemen� equipmenc s:�zll be done by licensed
contr�.ctors .
Valu���ion
_— Fees
sot� rl, 000 . eo................................................................_........---...._....................--- ...............$zo . 00
si, 000 . ol to Sio, 000 . 00...........__................_........--........__......__........- - .........................Szo.00 fo� first
$1, 000 .00 plus $1 . 50 per $100 . 00 valuation or part thereof
$10, 000 . 01 to $25, 000 . 00........................._.................................................- .........._.........._......5155 .00 for first
$10, 000 . 00 plus $1 . 00 per $1v0 . 00 valuation or �art thereof
Over $25, 000 . 00............................_•- - ............_............_._........_...............__........_................._.........$305. 00 plus $0 . 50
per $100 . 00 valuation or part thereof
• Sl:bmit payment with applicztion. Failure to pay within 30 days �,-i11 result in
f-c-es being doubled or $100 . 00 plus the normal permit fee, which ever is
gieater.