HomeMy WebLinkAboutHVAC � /��j CITY OF OSHKOSH No ss�ss
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3300 MEDALIST DR Owner SMET INVESTMENTS LLC Create Date 08/08/2002
Contractor CENTRAL TEMP. EQUIP. SERVICE INC Category 510-Ind.&Comm-Heating&Ventilating Plan E1-19-0302
Fuel �/ Gas Oil Electric I Solar Solid
System a New � � Replace Other
. _ ..._. ._-- —. ._._
Forced Air ✓ Radiant Steam A/C Vent
Electric Hot Water SuppL Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value 0 '�
BTU Rate As Per Plan Variable Other Value '�
UselNature INDUSTRIAU HVACworkforfactoryaddition.
ofWork
Fees: Valuation $39,567.00 Plan Approval $0.00 Permit Fee Paid $378.50
Issued By: K�JV� Date 0S/21/2002
� Pertnit Voided I
In the perfortnance of this work, I agree to perform all work pursuant to rules governing ihe described construction.
Signature Date
AgenVOwner
Address 1054 AMERICAN DR NEENAH WI 54956 -0 Telephone Number (920)722-2214
O Division of Inapection Services
� 215 Church Avenue
P.O. Box 1130
HK H Oshkosh, WI Sa903-1130
o���cwn�ev Fax k (920) 236-5084
Phone (920) 236-5048
HVAC PERMIT APPLICATION
All fields/information after bold categories must be provided.
Incomplete applications will not be processed.
DATB March 26, 2002
FEE: $378.50
JOB ADDRESS 3300 Medalist Dr., Oshkosh
OWNER AC Compressor
CONTRACTOR Central Temperature Equipment Service, Inc.
CSRi:L'n iaL'L AFPiZCA^aL'u
USE CATSGORY SINGLE FAMILY DUPLEX MULTI-FAMILY COMMERCI INDUSTRIAL
FUEL GAS� OIL ELECTRIC SOLAR SOLID
SYSTEM NEW REPLACE OTHER
TYPE FORCED AIR IANT STEAM A/C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BEING LINED LINER SIZE MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY B DIRECT VENT OTHER
HEAT LOSS AS APPROVED EXISTING NOT APPLICABLE
BTU RATS �S PER PLAN � VARIABLE OTHER VALUE
�
NATURE OF WORK:
� VALUE (Including labor and materials) $ 39,567.00
ELECTRICAL COlv'TRACTOR
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation Fees�
Soco Si, 000 . 00........_..................._..........................................._..................._......._............._.........._..$zo . 00
$1, 000 . 01 to $10, 000 .00......................................_...._..................._._................_................_._..$20 .00 for first
$1, 000 .00 plus $1 .50 per $100 .00 valuation or part thereof
$10, 000 . 01 to $25, 000 . 00...................................................................._............._.........._.......----$155 .00 for first
$10, 000 . 00 plus $1 . 00 per $100 . 00 valuation or part thereof
Over $25, 000 . 00.._._....................................................................................._._................_.................---$305 .00 plus $0 . 50
per $100 .00 valuation or part thereof
• Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100 . 00 plus the normal permit fee, which ever is
greater.