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HomeMy WebLinkAbout0098582-HVACOSHKOSH ON THE WATER Job Address Contractor Fuel System CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD 511 AVIATION RD RASMUSSEN'S HEATING & NC INC No 98582 b~J Gas I bJ Oil [] New L~J Forced Air I b-J Radiant ~] Electdc I I I Hot Water Chimney Type ~ Chimney A ~ Chimney B Heat Loss ~.~ As Approved O Existing BTU Rate ~..~ As Per Plan ~ Variable Owner JOHN MONNET JR Category 510- Ind. & Comm-Heating & Ventilating M Electdc [] Replace [~ Steam U Suppl. Solar Create Date 11/12/2002 Plan [] Solid [] Other ~j A/C [] Con. Burner Direct Vent ~.~ Not Applicable I O Not Applicable I Value O Other I Value Vent Use/Nature ;OMM/Install furnace & ductwork. of Work Fees: Valuation Issued By: $7,450.00 Plan Approval $0.00 Permit Fee Paid [] Permit Voided $117.50 Date 11/12/2002 In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction. Signature Date Agent/Owner Address 5154 DAVID DR OSHKOSH WI 54904 -8850 Telephone Number 920-235-6569 OSHKOSH ON THE WATER .lob Address 505 AVIATION RD Contractor Fuel ~J Gas ~ System ~J New CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD RASMUSSEN'S HEATING & A/C INC Oil Owner JOHN MONNET JR Category 510 - Ind. & C0mm-Heating & Ventilating L~ Electric Replace Forced Air I ~J Radiant Electric I ~J Hot Water L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type IO Chimney A ~) Chimney B O Direct Vent ~ 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 98582 11/12/2002 Other Vent J Use/Nature COMM/Install furnace & ductwork. of Work Fees: Valuation Issued By: $7,450.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $117.50 Date 11/12/2002 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 5154 DAVID DR OSHKOSH WI 54904 -8850 Telephone Number 920-235-6569 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. City of Osbimh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 HVAC PERMIT APPLICATION All information at~er bold categories must be provided. Incomplete applications will not be processed. O/HKO/H ON THE WATER Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR £f you are a contractor participating in the Permit fee/lccount $~,stem and have adequate funds, check here,. (f vou want this processed through .~our account [] JOB Avnm ss .5-/! ^ v Ecl CHECK 1TI ALL APPLICABLE USE CATEGORY []Single Family ClDuplex F1Multi-Family F1Rental ~[Commercial Eilndustrial FUEL ~Gas EIEle~tric ElSolid SYSTEM EIOil EtSolar New J~El})ther EIReplace TYPE ~Forced Air [Radiant F1Steam I"IA/C [3Vent FIEleetric IS CHIMNEY BEING LINED l~lo FIYes - LINER SIZE Note: Ali chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE HEAT LOSS BTU RATE [Chimney A OAs Approved OAs Per Plan OClfimney B DExisting DVariable DHot Water I-ISuppl. ECon. Burner & MANUFA~R DESCRIPTION OF ALL WORK BEING DONE J~Direct Vent ONot Applicable [3Other Value OOther 'VALUE (Including labor and all materials including light fixtures) $ 7~/~: OO ELF.,CTRICAL CONTRACTOR /"16 c....l~ ~ e.. ~l~For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be attached. If not attached or not applicable, a separate Electrical Permit is required. Electric Installation Verifieation (~) (C~) (~) have been. contracted to pexfonn electric installation work for /~t~i,~uss~ ~ ~(Nam¢ of party ~ntma~ to) at the follow:rog address: ~ /~ (Address where work will b~ The mmre of the work consis~ of: (Check' One or Describe ihe blahn~ of Work) ~ The value of this work is $ ~,Ofg.- OO I hel~y ?erify fltis work will be performed by an ~mlploy~ of~__bis company and further verify reconneciion / ins~lafion will be done in comp~ wiga mamlfaaml~r and Electric code (s~~ of Company OfflCa-)