HomeMy WebLinkAbout0098416-HVAC (stove)OSHKOSH
ON THE WATER.
Job Address
Contractor
Fuel
System
Chimney Type
Heat Loss
BTU Rate
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
865 HERITAGE TR
ZILLGES MATERIALS, INC.
L~J Gas I L~ Oil
[] New I
L-J Forced Air I L~ Radiant
[J Electric I L~ Hot Water
Owner
Category
DARRELL M/ETHEL RASMUSSEN
500 - Residential-Heating & Ventilating
LJ Electric
[] Replace
~_~ Steam
Suppl.
Solar
LJ NC
~]--Con. Burner
~..~ Chimney A ¢_~ Chimney B O Direct Vent ~ Not Applicable 1
~.~ As Approved ~ Existing O Not Applicable I Value
~.~ As Per Plan (~ Variable ~I Other I Value
No
Create Date
Plan
[] Solid
[] Other
98416
11/05/2002
[_J Vent
Use/Nature
of Work
~FR/
Install new direct vent gas stove.
Fees: Valuation $2,334.00 Plan Approval $0.00 Permit Fee Paid
Issued By:
[] Permit Voided
$41.00
Date 11/05/2002
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
P,o, ~o~ ~0
Oshkosh. ~! 5~03-~0
~o~e [~20) 23&-$040
HVAC PERMIT APPLICATION
Al! flelds/in£ormation a~er ~old categories ~ust be provided.
Incomplete applications will not be processe~.
JOB ADDRESS
CONTRACTOR .... ~ , \ * e5 __ ~
U~ ~~ ~ 'DUPLEX
FUEL ~ OIL ELECTRIC
SYST~ ~ RE--CE
TYP~ FoRc~ AIR ~I~T ..
MULTI-FAMILY COMMERCIAL
SOLAR SOLID
OTHER
STEAM A/C VENT
INDUSTRIAL
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BEINg LINED LINER SIZE
Note: Ali chimneys aha11 be sized per the BTU'S being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY B ~
HEAT LO~S AS APPROVED EXISTING NOT APPLICABLE
BT~ RATE AS P~R PLAN ~
OTHER
VALUE
V~LU~ (~nc[uding labor and ma~e=~a[s) $ ~-~,Jt
MANUFACTURER
OT"RER
TL~CTU.iCAL CO=~T~A~AW3R.
Electrical installation of new/replacement equipment shall be dORe by licensed
COhered=ors.
Valuation Fees
$0 to $1,000.00 .....
...................................................................... $20.00
$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 $25,000.~p~..~.~,~,,~ ...... ~ ............................................... ,$~,00 fo~ ~rsc
' $lo,uou.uo p~us $1.00 per $100.00 valuation or part thereof
Over $25,000.00 ......................................................................................... ~.....$305.00 plus $0.50
per $100.00 valuation or part thereof
Submi~ pa~men~ with application. Failure [o pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.