HomeMy WebLinkAbout0098975-HVAC (a/c) (ID 'CITY OF OSHKOSH No 98975
GANiv
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD °
SIN 141003
ON THE WATER
Job Address 3735 GLENHURST LN Owner JESSICA SMITH Create Date 12/06/20 O
Contractor MOBILE HOME STUFF STORE, INC. Category 501 - Residential -Air Conditioning Plan
Fuel 1 Gas I Oil I Electric Solar I 1 Solid
System n New Replace 1 ❑ Other
u Forced Air LI Radiant Li Steam U NC IJ Vent
Electric 1 1 Hot Water Suppl. J Con. Burner
Chimney Type K ) Chimney A O Chimney B Direct Vent • Not Applicable
Heat Loss CD As Approved n Existing • Not Applicable Value 0
BTU Rate J As Per Plan ( ) Variable • Other Value
Use /Nature MOBILE HOME/ 2.5 ton Eubank A/C install.
of Work
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: Date 12/06/2002
❑ Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address N6446 ROLLING MEADOWS DR FOND DU LAC WI 54937 -0 Telephone Number (920) 923 -0098
Division of Inspection Services
215 Church Avenue
P.O. Box 1!30
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5048
RECEIVED
DEC 0 6 2002
COMMERCIAL INDUSTRIAL
DEPARTMENT OF
HVAC PERMIT APPLICATIO~
MMUNITY DEVELOPMENT
0
Ail fields/information after bold categories must be provided.
Incomplete applications will not be processed- ~/0
CIRCLE ALL APPL~D.-~-~ _
FUEL GAS 01 L ELECTR I C SOLAR SOL I D
SYSTEM NEW REPLACE OTHER
TYPE FORCED AIR RADIANT STEAM (A/C~
VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMI~EY BEING LINED LINER SIZE MANUFACTURER
Note: Ail chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY B DIRECT VENT OTHER
HEAT LOSS AS APPROVED EXISTING NOT APPLICABLE
BTU RATE AS PER PLAN VARIABLE
OTHER VALUE
NATURE OF WORK:
VALUE (Including labor and ~teri.ls) $
Electrical installation of new/replacement e~ipment shall be done by licensed
contractors.
V--a!uati°~n ~
$0 to $1,000.00 ........................................................................
$1,000.01 to $10,000.00 ............................................................ or first
$1,000.00 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 .......................................................................................... $305.00 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.