HomeMy WebLinkAbout2002-HVAC � CITY OF OSHKOSH No 93938
L
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3870 WOOD DUCK CT Owner ANDREW HOMES Create Date 02/11/2002
Contractor CONRAD HEATING&A/C INC Category 500-Residential-Heating&Ventilating Plan
Fuel � Gas Oil Electric Solar Solid I
System ✓ New_ . _ _�. ❑ Replace �] Other
- -------_..
✓ Forced Air Radiant Steam A/C i Vent i
Electric i Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimney 8 Direct Vent Not Applicable �
Heat Loss As Approved Existing Not Applicable � Value 0
BTU Rate As Per Plan Variable Other Value
Use/Nature NSFR/Install new HVAC system.
ofWork
Fees: Valuation $7,000.00 Plan Approval $0.00 Permit Fee Paid $110.00
Issued By: 1�� Date 04/30/2002
[ Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address N3712 HY 55 KAUKAUNA WI 54130 -0 Telephone Number (920)788-9166
,
O Division of Snspectior. Sexvic^_s
215 Church Avenue
P.O. Box 1130
w,/ , I Oshkoah, WI 54903-1130
� � � cax # (920) 236-5089
�,�.�.e 'iP—
PhOne (920) 236-504P.
HVI�C P�RN'iIT AP1'LICATIOI3
All fields/information after bold categories must be provided.
/�G �l Incomplete applications will not be processed. � �
� � /�,��-n�.
DATE �
J09 :4DD S / ` �-
owx�� �)���
CODTTRACTOR _ '_��{,�,�y������ V ��
CIRCLE AI,L APPLICABT.�fi
USn CATEGORY SINGLE FAMILY UUPLEX MULTI-b'AMILY COMMERCIAL INDUST'FSAL
FUEL GA OIL ELECTP.IC SOLAP. SOLID
SY'STE-M NEW RBPLACE OTHER
TYP$ FORCED A73 ��IANT STEAM A/C VENT
CTRIC HOT WA'PER SUYPL. COtS. BURNER
IS CHIDII�'EY BEING LINED LINER SIZE MADTUFACTURER
S7ote: All chimr,eys shall be sized per the BTU' s being vented.
CHTMNKY TYPE CHIMNEY A CHIMNEY B DIRECT VENT OTHER �
HEAT LOSS AS APPROVED EXISTING NO; APPLICP.BLE
BTII RATE AS PER PLkId VARIABLE OTHEP.VALUE
� NATI7I2E OF WORK:
VALUE (Tncludiny labor and materials} $ , y��
��� fi�gCTRSCAI. CONTR'r.CTOP, .
Electrical instaliation of new/repiacement equipment shall be done by licensed I
contractors.
Valuacion N�eu I
SOCo $1, 000 . 00.._..............................._..........................._...................................._---.__.......................$20 . 00
$1, 000 . 07. to $10, 000 . 00.........................:.........................................._.........._...._......._..............$20 . 00 for first
$1, 000 . 00 plus $1 . 50 per $100 .00 valuation or part thei �of
510, 000 .01 to $25, 000 .00..............................................................•-•--�---.....................................5155 .00 for first
$10, 000 . 00 plus $1 . 00 per $100 .00 valuation or part ther���of
�� �Over $25, 000 . 00............................................................................................_................_.......................5305 . 00 plus $0 . �0
per $100 . 00 valuation or part the:��of �
• Submit pa}m�ent with application. Faiiure to pay within 30 days will result in
L'ees being doubled or $100 . 00 plus the normal permit fee, which ever is
greater.