HomeMy WebLinkAbout2003-HVACOSHKOSH
ON THE WATER
.lob Address 515 N SAWYER ST
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
FOREMEN HEATING & VENTILATING IN<
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner EFRAIN J LOPEZ LLC
Category 512- Ind. & Comm-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
No 99406
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss IO As Approved ~ Existing
BTU Rate IO As Per Plan ~ Variable
Direct Vent
Create Date 01/03/2003
Plan G5-111-1202
Not Applicable
Other
Solar I ~J Solid
~J Other
A/C I ~J Vent
Con. Burner I
Not Applicable
Value
Value
Use/Nature RESTAURANT/HVAC for dining room addition.
of Work
Fees: Valuation
Issued By:
$10,900.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided
$164.00
Date 01/09/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 819 MORLEY RD P O BOX 10073 GREEN BAY WI 54307 -73
Telephone Number
1-920-499-6969
Division of Inspec%ion Services
215 Church Avenue
P.O, Box 1130
Oshkosh, WI 54903-1130
Fax # (920) 236-5084
Phone (920) 236-5048
All
JAN 0 2 20o}
-HVAC PERMIT APPLI:ATION
fields/information after bold catego..ies taus%
' Incomplete .... applications will not be processed.~U~
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX
FUEL ~S ) OIL ELECTRIC
SYSTEM REPLACE
TYPE ~CED~ RADIANT
MULTI-FAMILY ~ INDUSTRIAL
SOLAR SOLID
OTHER
SUPPL. CON. BURNER
IS CHIMNEY BEING LINED LINER SIZE
Note: Ail chimneys shall be sized per the BTU's being vented.
CHIHNEY TYPE
HEAT LOSS
BTU RATE
CHIMNEY A
NATURE OF WORK:
CHIMNEY B
EXISTING
VARIABLE
~ C
DzRE~T VENT
NOT APPLICABLE
OTHER VALUE
MANUFACTURER
VALUE (Including labor 'and raaterfals) $
ELECTRICAL CONTRACTOR
Electrical installation of new/replacemen~ equipment shall be done by licensed
contractors. ~/~~~~_
$0 to $1,000.00 ....................................................................................................................................
/ko z_
$1,000.01 to $10,000.00 ............................................................................................................. S20.00 for first
Sl,000.00 plus S1 50 per S100.00 valuation or part Ehereo-
Sl0,000.01 to $25,000.00 ............................................................................................................ $155.00 for firs5
$10,000.00 plus S1.00 per S100.00 vaiuaEion or paru thereof
Over $25,000.00 ..................................................................................................................................... $305.00 plus S0.50
per $100.00 valuation or part thereoi
· Submit payment with application. Failure no pat, with:in 30 days will resu].t an
fees being doubled or Sl00.00 plus the normal pertain lee, which ev/e,r is~ ~ ~_