HomeMy WebLinkAbout0098583 HOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
Chimney Type
Heat Loss
BTU Rate
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
2500 STATE ROAD 44
CENTRAL HEATING SERVICE INC
Gas I
[] New
J~ Forced Air J
[~ Electric j
Chimney A
As Approved
As Per Plan
Oil
Radiant
L~ Hot Water
Chimney B
~ Existing
~ Variable
J LJ NC ]
t LJ Con. Burner j
Direct Vent (.~ Not Applicable J
(~ Not Applicable J Value
(.~ Other J Value
Owner CONTINENTAL GIRBAU INC
Category 510- Ind. & Corem-Heating & Ventilating
~ Electric I U Solar
[] Replace ]
LJ Steam
~] Suppl.
No 98583
Create Date 11/12/2002
Plan F2-83-0902
bJ Solid
[] Other
Vent
Use/Nature
of Work
Factory/Install HVAC for addition.
Fees: Valuation $15,400.00 Plan Approval $0.00 Permit Fee Paid
Issued By:
[] Permit Voided j
$209.00
Date 11/12/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1565 HARRISON STREET OSHKSOH WI 54901 -0 Telephone Number
(920)235-6670
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, wi 54903-1130
Fax # (920) 236-5084
Phone (920) 236-5048
DATE
N,, uEVELOp ENT
~AC PERMIT APPLICATION
All fields/information after bold categories must be provided.
Incomplete applications will not be processed.
MULTI-F~ILY ~ I~USTRI~
SOLAR
USE CATEGORY SINGLE FAMILY DUPLEX
G~~ OIL ELECTRIC
FUEL
SYSTEM ~ REPLACE
TYPE RADIANT
ELECTRIC HOT WATER
OTHER
STEAM A/C VENT
SUPPL. CON. BURNER
IS CHIMNEY BEING LINED LINER SIZE
NOte: All chimneys shall be sized per the BTU's being vented.
HEAT LOSS ~/~ EXISTING
BTU RATE ~ VARIABLE
NATURE OF WORK:
1--1-
VALUE (Including labor and materials) $ l~! ~ ~ O- O O
MANUFACTURER
DIRECT VENT
NOT APPLICABLE
OTHER VALUE
OTHER
ELECTRIC CO RACTOR
Electrical installation of new/replacement equipment shall be done by tice~-~
contractors
Fees
$o to $1,ooo.oo ................................................................................... ............................................... ,....$2o.oo~_~
$1,000.0! to $10,000.00 ............................................................................................................... $20.00 for first
$!,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 thereof
Over $25,000.00 ..................................................................................................................................... ,.$3'05.00' plus $0.50
per $100.00 valuation or part thereof
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.