HomeMy WebLinkAbout0081800-HVAC
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OSHKOSH
ON THE WATER
Job Address 1730 HUNTERS GLEN DR
CITY OF OSHKOSH
No 0081800
HVAC PERMIT - APPLICATION AND RECORD
Owner
PAUL AND LORI TORKELSON
Create Date 09/06/2000
Contractor
Fuel
BREWER HEATING
U Gas
Category 500 - Residential-Heating & Ventilating
Plan
I Oil
I Electric
D Replace
U Steam
U Suppl.
() Direct Vent
I Solar U Solid
o Other
U AlC U Vent
U Con. Burner
() Not Applicable
System
D New
U Forced Air
I I Electric
I I
--------~
I
I
U Radiant
U Hot Water
Chimney Type () Chimney A
Heat Loss
() As Approved
() As Per Plan
() Chimney B
C) Existing
C) Variable
() Not Applicable
() Other
Value
BTU Rate
Value
Use/Nature :iFR / ADD DUCTWORK TO BASEMENT
of Work
Fees: Valuation $900.00
Issued By: sms
Plan Approval
$0.00
Permit Fee Paid
$20.00
Date 10/04/2000
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
N8804 N DOUGLAS STREET
RIPON
WI 54971 - 0
Telephone Number (920)748-6494
~
OJHKOJH
ON THE' WAHR
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
q .a, q .()O
JOB ADDRESS 1130 U {j NT €As C l ftJ
OWNER PRUL TOR~fLSON
CONTRACTOR --5f\8vE-A UfMlN{-;
CIRCLE ALL APPLICABLE
uLJ
~ ~()-
USE CATEGORY ~U:-~~
DUPLEX
MULTI-FAMILY
COMMERCIAL
INDUSTRIAL
FUEL
GAS
OIL
ELECTRIC
SOLAR
SOLID
SYSTEM
NEW
REPLACE
OTHER
TYPE
FORCED AIR
RADIANT
STEAM
Alc
VENT
ELECTRIC
HOT WATER
SUPPL.
CON. BURNER
~S CHIMNEY BEING LINED LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
MANUFACTURER
CHIMNEY TYPE
CHIMNEY A
CHIMNEY B
DIRECT VENT
OTHER
HEAT LOSS AS APPROVED EXISTING NOT APPLICABLE
BTU RATE AS PER PLAN VARIABLE OTHER VALUE
NATURE OF WORK: f}i)D ~ jc:J~--
VALUE (Including labor and materials) $ Cf(!kJ-
ELECTRICAL CONTRACTOR
Electrical installation of new Ire placement equipment shall be done by licensed
contractors.
Valuation
Fees
$ 0 to $1, 000 . 0 0 .......................................................................................................................................$ 20 . 00
$1, 0 0 0 . 0 1 to $10, 00 0 . 0 0 ...............................................................................................................$ 20 . 00 for firs t
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
$,1.0 , 00 o. 01 to $ 2 5 , 00 O. 0 O................................................................................~........................_..$155 . 0 0 for firs t
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over $ 2 5, 000 . 0 0..................................................................................................................................._..$305 . 0 0 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.