HomeMy WebLinkAbout0097074-HVAC
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OSHKOSH
ON THE WATER
Job Address 2200 HICKORY CT
CITY OF OSHKOSH
No
97074
HVAC PERMIT -APPLICATION AND RECORD
Owner ROBERTS HOMES
Create Date 07/18/2002
Contractor AIR TECH HEATING INC
Fuel I~I Gas I Oil
System ~ New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type U Chimney A () Chimney B
Heat Loss . As Approved () Existing
BTU Rate . As Per Plan () Variable
Use/Nature NSFRI HVAC installation.
of Work
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
D Other
U AlC U Vent
l I Con. Burner
I Electric
D Replace
U Steam
U Suppl.
() Direct Vent . Not Applicable
() Not Applicable
() Other
Value
o
Value
$5,460.00
Plan Approval
$0.00
Permit Fee Paid
$87.50
Fees: Valuation
Issued By:
~\N\
Date 09/05/2002
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
1305 A INDUSTRIAL PARKWAY
FOND DU LAC
WI 54937 -2208 Telephone Number (920) 924-6742
.
~
OJHKOJH
ON THE WMER
Division of Inspection Services
215 Church Avenue
P.O, Box 1130
Oshkosh, WI 54903-1130
Fax # (920) 236-5084
Phone (920) 236-5048
HVAC PERMIT APPLICATION
All fields/information after bold categories must be provided.
Incomplete applications will not be processed.
DATE
9-0<{.-D;J.
JOB ADDRESS C).C).. 00 I-I-tC;<jjte.y c..i
OWNER to AJ Y LOlL
CONTRACTOR A J fL Tee H J-lEAi au G / tV c..
CIRCLE ALL APPLICABLE
USE CATEGO:aY~LE~ DUPLEX MULTI-FAMILY COMMERCIAL INDUSTRIAL
FUEL ~ OIL ELECTRIC sbLAR SOLID
SYSTEM ~ REPLACE OTHER
TYPE ~~ RADIANT STEAM Alc VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BEING LINED. ND LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
MANUFACTURER
CHIMNEY TYPE CHIMNEY A CHIMNEY B
HEAT LOSS 6i~ EXISTING
.._:-:~._.._-_.------
BTU RATE ~~~/ VARIABLE
NATURE OF WORK: H VAr:.. IN.;;sTALLA.TloAJ
DIRECT VENT OTHER
NOT APPLICABLE
OTHER VALUE
Valuation
Fees
$ 0 to $1, 0 0 0 . 0 0 ..........m....................................m....................................__...m......................................$ 2 0 . 0 0
$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 . 0 Om............................................................................;............................$155.00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over $ 2 5 , 000 . 0 0 .......___........._..._............................................................._................................._.$ 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.