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HomeMy WebLinkAbout0099354-HVAC (fireplace)OSHKOSH ON THE WATER .lob Address 2359ALLERTON DR Contractor ZlLLGES MATERIALS, INC. Fuel System Gas J ~J Oil New ~ Forced Air Electric CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Radiant Hot Water Owner RICHARD/SUSAN HOPPE Category 500- Residential-Heating & Ventilating L~ Electric Replace L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type I~ ChimneyA Heat Loss IO As Approved BTU Rate I~ As Per Plan Chimney B ~ Existing O Variable Direct Vent Not Applicable Not Applicable Other Value Value No Create Date Plan L~ Solid 99354 01/08/2003 Other J Vent J Use/Nature SFR/Install a direct vent fireplace. of Work Fees: Valuation Issued By: $1,868.70 Plan Approval $0.00 Permit Fee Paid Permit Voided J $33.50 Date 01/08/2003 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 1800 FOUNTAIN AVE OSHKOSH WI 54904 -0 Telephone Number (920) 231-1994 ~AC PERMIT APPLICATION' All fie1~s/info~atio~ a~ter bold categories mue= be provided. In=o~l~=e appli~ahions will no= be processed. NULT I - FAM I L¥ SOLAR EnECT~ZC HOT WATE~ SUPPL. Note: AZ/ chimney~ shall be ~ized per the BTU's being venced. BTU I~ATE AS PER PLAN NATUR~ OF WORK: % CHIMNEY B EX I STING COMMERCIAL INDUSTRIAL SOLID A/C VE~ MANUFACTURER ~ OTNER NOT APPLICABLE OTHER VALUE Valuation Fees $0 tO $1 000.00 ......................... e~ · ...................................................................................... ~v.O0 $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 ~hereof Over $25,000.00 ............................................................................................ : ...... $305.00 plus $0.50 per $100.00 valuation or part thereof · Submit payment with aDplication. Failure to pay within 30 day~ will result in fees being doubled or $100.00 plus the normal permit fee which ever is ~reater. '