HomeMy WebLinkAbout0103973-HVACOSHKOSH
ON THE WATER
.lob Address 2390 HICKORY CT
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
Owner SHIRLEY DOEMEL
Category 502- Residential-Both
L~ Electric
Replace
Radiant
Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O 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
103973
05/15/2003
Other
Vent J
Use/Nature NSFR/Install HVAC system in new home.
of Work
Fees: Valuation
Issued By:
$4,500.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$72.50
Date 09/05/2003
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.
Oshkosh, WI 54903-1130
Phone (920) 236-$048
HVAC PERMIT APPLICATION
Ail field~/information after bold categories must be provided.
Incomplete applications will not be processed.
CO CTOR J---
DUPLEX MULTI-FAMILY
ELECTRIC
REPLACE OTHER
RADIANT STEAM
HOT WATER SUPPL
LINER SIZE
SOLAR
GLR Company
4860 Cly. Rd. K
Oshkosh, WI 54904
CIRCLE ALL APPLICABLE
USE CATEGORY~_LE FAM
FUEL ~ OIL
SYSTEM _ ~
ELECTRIC
COMMERCIAL
SOLID
~ VENT
CON. BURNER
IS"CHIMNEY 'BEING LINED
Note: Ail chimneys shall b~ ~zed per ~he BTU's bei'ng.~ented.
~H'IMN~ TYPE ' CHIMNEY A
MANUFACTURER
HEAT LOSS
INDUSTRIAL
AS APPROVED
~XISTING Nor APPLICABLE
BTU RATE AS PER PLAN VARIABLE
OTHER VALUE
NATURE OF WORK:
VALUE (Including labor an~ materials) $
ELECTRICAL CONTRAC"rOR
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation Fees
$0 to $1,000.00 ................................................................................................................................. $20.00
$1,000.01 to $10,000.00 .................................................................................. $20 00 for first
fj%00.00
$i00.00 Valuati6h Or part thereof
$10,000.01 [~ $25,000 0~......!!1.!.~......i ........................ [.-~ ................................................... ..._..$1~.00 for first
$~0,000.00 plus $1 00 pe~ $100.00 valuation or part thereof
ovek $2~,000. O0..~]_!]...~ ....................................... '..~ ........... ]...~..~ ........... e .......................................... $305 [ O0 plus $0. SO
. ~ : per $100.00 valuation or part thereof
· Submit pa~ent with apFlic~Lion, Failure ~o pay within ~0 d~y~ will result in
fee~ being doubled or $100.00 plu~ the normal permit fee, ~hich ever ig
greater.