HomeMy WebLinkAbout0099795-HVAC (wood stove)OSHKOSH
ON THE WATER
.lob Address 1222 OTTER AVE
Contractor ZlLLGES MATERIALS, INC.
Fuel ~J Gas ~
System ~J New
~J Forced Air 1
~J Electric I
Chimney Type IO ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner JON S/SALLY E CHASE
Category 503- STOVES AND FIREPLACES
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney B ~ Direct Vent ~ Not Applicable
Existing O Not Applicable
Variable O Other
Value
Value
No
Create Date
Plan
k~J Solid
99795
02/12/2003
Other
Vent J
42m btu
Use/Nature SFR/Installing EPA approved woodstove & class A pipe.
of Work
Fees: Valuation
Issued By:
$2,250.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$39.50
Date 02/12/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1800 FOUNTAIN AVE OSHKOSH WI 54904 -0
Telephone Number
(920) 231-1994
p.o. sox 11~0
FaN ~ (920) 2]6-$084
Phone (920) 236-~04~
HVAC PERMIT APPLICATION
All fields/information after bold categories mus: be provided.
Incomplete applications will no~ b~ processed.
MULTI-FAMILY
SOLAR
OTHER
STmAM
SUPPL.
CONTRACTOR
ozn ECT IC
SYST~ (~__~____~____~__._,., REPLACE
TYP~ FORCED AIR
ELECTRIC HOT WATER
IS CHIVY BEIN~ LINED LINER SIZE
Note~ Ali chimneys shall be sized per Che BTU's bein~ vented.
CHIMNEY TYPE ~
XTEAT LOSS AS APPROVED
AS PER PLAN
BTU RATE
Ale
COMMERCIAL
INDUSTRIAL
CHIMNEY B
EXISTIN~
VARIABLE
VENT
CON. BURNER
MANUFACTURER
DIRECT VENT OTHER
~aluation
Fees
$0 to $1,000.00 .......................................................................................................... $20.00
$1,000.0! 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 ......................................... i ........................ $1S5.00 gut £&rs=
910,000.00 plus $1.00 per $100.00 valuation Or par~ thereof
Over $25,000.00 ................................................................................................... ~ ..... $3 .
05 00 plus $0.50
per $100.00 valuation or part thereof
' Submit payment with application. Failure to pay within 30 days wilt result in
fees bein~ doubled or $100.00 plus the normal permit fee, which ever is
greater.