HomeMy WebLinkAbout0103893-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1024ARTHUR AVE
Contractor G L R COMPANY
Fuel ~J Gas
System ~J New
~J Forced Air
~J Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner CHRISTOPHER M ANDERSON
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B
~ Existing
~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
103893
09/03/2003
Other
Vent J
Use/Nature SFR/Replace furnace & A/C.
of Work
Fees: Valuation
Issued By:
$3,587.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$59.00
Date 09/03/2003
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 4860 COUNTY ROAD K OSHKOSH WI 54904 -0 Telephone Number
(920) 233-0784
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.
215 Church Avenue
Oshkosh, WI 54903-1130
EC EiVED
SEP 0 5 2003
AC,: 2 9 2003
All fields/information after bold categories must be provz~ed.
Incomplete applications will not be processed,
~o~ ~oRESS_ /~ ~, ,--/ ,4- ~ 'FR ,~ v-
~o~o~ ~ ~ ~
GLR Company
4860 C~/. Rd. K
Oshkosh, %%1 54S04
DUPLEX
ELECTRIC
.... ~L~ ~I~E~R~' ' NOT WATER SUPPL
CIRCLE ALL APPLICABLE
USE CATEGORY ~AMi~ MULTI-FAMILY COMMERCIAL
FUEL ~ OIL SOLAR SOLID
SYSTEM OTHER
~N'ok~%LAiI c}{imn~ s~all be sized per the BTU's being venued.
CHIMNEY TYPE CHIMNEY A CMI~NE~' B ~ D_RECT VENT
INDUSTRIAL
VENT
CON. BURNER
MANUFACTURER. _
HEAT LOSS
AS APPROVED
EXISTING
OTHER
NOT APPLICABLE
BTU RATE AS PER PLAN
NATURE OF WORK:
VARIABLE
OTHER VALUE
VALUE (Including labor an~ materials) $ ~7-
Electrical installation of new/re~-~ment equipment sha~l be done by licensed
contractors.
Valuation Fees
$0 to $1,000.00 .......................................................................... .. ........ $20.00
$1,000.01 to $10,000.00 .................................................................................................... :.$20%0.0 for first
'-$1;000.~0 plus $I~58 per Sz00.00 valuation or part thereof
:~ %}, E.i:' :::: :::: :?~, ~:',: ::: :: :~ ?': ,~:: ~10,000. O0 pl~:':$i per $ I 00.00 valu~i~' ~'~" ~rt thereof
over $25,000.00,.¢.~.::.~ ..................... ,....., .................................... : ................................................... $305. oo plus $0.50
:-. ' ' ,: pe~ .$100.00 ~aluation 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.