HomeMy WebLinkAbout0099438-HVACOSHKOSH
ON THE WATER
.lob Address 333 W 29TH AVE
Contractor PALISADES SHEET METAL
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner OSHKOSHTRUCKCORP
Category 510 - Ind. & Comm-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
99438
01/13/2003
Other
Vent J
Use/Nature Factory/HVAC for new 18x25.5 Office Mezzanine.
of Work
Fees: Valuation
Issued By:
$4,950.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$80.00
Date 01/13/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1475 RACINE ROAD MENASHA WI 54952 -0
Telephone Number
(920) 729-1282
JOB ADDRESS
OWNER
CONTRACTOR
HVAC PERMIT D
All fields/information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 1/8/03
333 West 29TH Street
Oshkosh Truck
Palisades Sheet Metal
CIRCLE ALL APPLICABLE
USE CATEGORY
~["~ GAS OIL
ELECTRIC
SINGLE FAMILY DUPLEX
ELECTRIC
REPLACE
RADIANT
HOT WATER
MULTI -FAM I LY E INDUS TRIAL
SOLAR SOLID
OTHER
STEAM A/C
SUPPL.
IS CHIMNEY BEING LINED LINER SIZE
~Note: All chimneys shall be sized per the BTU's being vented.
CHiMNEy Type CH~MNEyA ~Hi~EY B DiRECTVENT ....... O~H~R
HEAT LOSS AS APPROVED ,[ EXISTING ~TAP.PLIC~ABL~
~~ ~~OTHER~/ALUE
VENT
CON. BURNER
~JkNUFAcTURER
ELEC.TRIC,~uL CONTraCTOR.
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
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 $25,000.00 ......... ~ ................................... " ....................................... : .......... L..,...$155.~00 for' first
· $10,000.00 plus $t.00 per $100.00 valuation or part thereof
~gver $25,000.00,, ........... , ....................................................................................................................... $305 00 Plus $0.50
~ per $100.00 valuation or part thereof
· Submit paymen~ 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.