HomeMy WebLinkAbout0083013-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1125 GARFIELD ST
j~~ I
CITY OF OSHKOSH
No
83013
HVAC PERMIT -APPLICATION AND RECORD
Owner
Create Date 11/20/2000
Contractor TENTH STREET STATION INC
Fuel 1""1 Gas ] Oil
System D New
U Forced Air U Radiant
1 I Electric U Hot Water
Chimney Type U Chimney A () Chimney B
Heat Loss () As Approved . Existing
BTU Rate () As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
l J Electric
o Replace
U Steam
1 1 Suppl.
. Direct Vent
I
--~-~
I
1
U Solar U Solid
D Other
U AlC U Vent
1 1 Con. Burner
() Not Applicable
() Not Applicable
. Other
Use/Nature SFR / REPLACE GRAVITY FURNACE WITH 90+ DIRECT VENT
of Work
Value
Value 75,000
Fees: Valuation $3,050.00
Issued By: .:5f'r\ S
Plan Approval
$0.00
Permit Fee Paid
$51.50
Date 11/21/2000
D Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 924 OHIO STREET
OSHKOSH
WI 54902-0
Telephone Number 236-8770, MOBILE 7
I
11/17/2000 04:38
9202350150
TENTH5TREETSTATION
PAGE 01
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Divieion o~ Xnspection Se~ViOe8
215 Churc~ ~venue
P .0. Sox 1130
O$hXO&fi, WI 5490)-11JO
Fax II (920) 236..S0IH
Phone (920) 236-5048
JOB ADDRESS 1125 G:vtfJe1d
OWNER h Y"f\t- JU,.~e1...J
CONTRACTOR 'fi1Aitt $fru;t~ M~ Int.
CIRCLE ALL APPLICABLE
HVAC PERMIT APPLICATION
All fields/information at~er bold catego~ies must be provlded.
Incomplete applications will not be processed.
DATE 11/17/tTo
USE CATEGORY cf[NGLE FAMILD
~
DUPLEX
MULTI-FAMILY
COMMERCIAL
INDUSTRIAL
FUEL
OIL
ELECTRIC
C8iPLACE~
SOLAR
SOLID
SYSTEM
NEW OTH ER
~CED ~y ~.DrANT STEAM
ELECTRIC HOT WATER SUPPL.
IS CHIMNEY BEING LINED )JO, V./S7~~R~
Note: All chimneys shall be sized per the BTU's bei,ng
TYPR
Alc
VENT
CON, BURNER
CHIMNEY TYPE
CHIMNEY A
CHH'iNEY B
G~j)Jr. ~
vented... .
~RECT VENU
MA l\TT Tt:' !'.CT'JR.ER_
OTHER
HEAT LOSS
AS APPROVED
NOT APPLICABLE
BTU RATE AS PER PLAN VARIABLE OTHER VALUE 7.$'000
-
NATURE OF WORK: ~ GlIAl/TV ffltut/AcC I-J{ 'fOr [>11'18-7 vGl'ff
VALUE (Including labor and materia~S) $ 1.3C>$o. (10
hT,' .s >/ 50
ELECTRICAL CON'T.RACTOR >G"~ GZJ;;t71Z1C;..
Electrical instaAl~tion of new/replacemenb equipment shall be done by l~censed
cont.l:"actors.
Y~)uation Fees
SOt 0 $1, 00 () . d 0 .......................................................................................................................................$ 2 0 . 00
$1,000.01 to S 10, 000. 0 o....................................................................~~...,...<<.............................$20.00 for f l.rat
$1,000.00 plus $1.50 per $100.00 valuation Or part thereof
$10,000.01 to $25.000. OO....................m.....................................................................................$lS5. 00 for first;;
$10.000.00 plus $1.00 per $100.00 valuat~on Or part thereof
Over $25,000. 00........................................,..............................................................................................$305.00 plus $0.50
per S100.00 valuacion or part thereof
· Submit payment with applicaClon. Failure co pay wlthin 30.days will result ~n
fees being doubled or SlOO.OO plus the normal permlt fee, which ever is
greater_