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-)