HomeMy WebLinkAbout0099098-HVACOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
3300 MEDALIST DR
CENTRAL TEMP. EQUIP. SERVICE INC
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner SMET INVESTMENTS LLC
Category 510- Ind. & Comm-Heating & Ventilating
[] Gas 1 b~ Oil
b-J Forced Air I '[¢-J Radiant
[] Electric 1 [] Hot Water
[~ Electric
[] Replace
Steam
Suppl.
I ~ Solar
L-J NC
[] Con. Burner
Chimney Type ~ Chimney A (~ Chimney B O Direct Vent ~I Not Applicable I
Heat Loss ~ As Approved ~ Existing O Not Applicable I Value
BTU Rate ~ As Per Plan O Vadable O Other I Value
No 99098
Create Date 12/16/2002
Plan
I [] Solid
[] Other
I ~J Vent
Use/Nature 30MM/Locker room alterations per plan.
of Work
Fees: Valuation
Issued By:
$12,841.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided
$183.00
Date 12/16/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1054 AMERICAN DR NEENAH WI 54956 - 0 Telephone Number
(920)722-2214
Uivision of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax # (920) 236-5084
Phone (920) 236-5048
FEE: $183.00
JOB ADDRESS
}IVAC PERMIT APPLICATION
Ail fields/information after bold categories must be provided.
Incomplete applications will not be processed.
DATE October 30, 2002
3300 Medalist Drive
GE Power Systems
OW1TE R
CONTRACTOR
Central Temperature Equipment service, Inc.
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI-FAMILY
FUEL GAS OIL ELECTRIC SOLAR
SYSTEM ~ REPLACE
OTHER
TYPE FORCED AIR RADIANT STEAM
ELECTRIC HOT WATER SUPPL.
IS CHIMNEY BEING LINED LINER SIZE
Note: Ail chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
A/C
CHIMNEY A
INDUSTRIAL
SOLID
CON. BURNER
MANUFACTURER Venmar
CHIMNEY B
DIRECT VENT OTHER
HEAT LOSS
BTU RATE
NATURE OF WORK:
AS APPROVED
AS PER PLAN
EXISTING
VARIABLE
NOT APPLICABLE
OTHER VALUE
VALUE (Including labor and materials) $ 12,841.90 ' '
ELECTRICAL COI~TRACTOR Excellance Electric
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation Fees
$0 to $1 000 00 .......................................................... $20.o0
$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 .................. 2.1 ........................................................... i ................... $155.00 for first
$10,000.00 plus $1,00 per $100.00 valuation or part thereof
Over $25~.~ ............ 2 .................................................. ~..: ......................................... , ........ $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..
1-11903
CENTRAL TEMPERATURE EQUIPMENT SERVICE, INC. 4 9 6 0 7
October 31, 2002
City of Oshkosh Permit
GE Power Systems 1-11903
$183.00
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