HomeMy WebLinkAbout0099736 HOSHKOSH
ON THE WATER
.lob Address 30 WISCONSIN ST
Contractor CENTRAL HEATING SERVICE INC
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner
Category 512- Ind. & Comm-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss IO As Approved ~ Existing
BTU Rate IO As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
99736
11 ~06~2002
Other
Vent J
Use/Nature
of Work
Restaurant/TUMBLEWEED/Install HVAC system.
Fees: Valuation
Issued By:
$46,800.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$414.50
Date 02/07/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1565 HARRISON STREET OSHKOSH WI 54901 -0
Telephone Number
(920) 235-6670
CIRCLE ALL APPLICABLE
USE CATEGORY
FUEL ~ OIL
SYSTEM ~
TYPE
ELECTRIC
SINGLE FAMILY DUPLEX
ELECTRIC
REPLACE
RADIANT
HOT WATER
SOLAR SOLID
OTHER
STEAM
/ .
CHIMNEY TYPE
HEAT LOSS
BTU P~ATE
NATURE OF WORK:
IS CHIMNEY BEING LINED LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY A
CHIMNEY B
EXISTING
VARIABLE
MANUFACTURER
DIRECT VENT
NOT APPLICABLE
OTHER VALUE
OTHER
VALUE (Including labor and m~ials) $ & . ~
¥ .
Electrical installation of new/replace~~~ shall be done by
contractors. ~ ~ C~; ~
,~,ooo.o~ r. ,~o,ooo.oo .................................. F~I~ ........................................................... ,~o.oo
~0~000.01 ~o $25~000.00 ............................................................................................................ $155.00
$~0,000.00 plus ~.00 per $100.00
Over $25~000.00 .....................................................................................................................................
per $100.00 valuation or par~ ~hereo~
for first
or part., thereof
SubmiU 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.