HomeMy WebLinkAbout0093191-HVAC
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OSHKOSH
ON THE WATER
Job Address 1809 HICKORY LN
CITY OF OSHKOSH
No
93191
HV AC PERMIT - APPLICATION AND RECORD
Owner THOMAS UMARY L 0 DEGNER
Create Date 02/26/2002
Contractor BREWER HEATING
Fuel 1,1'1 Gas L J Oil
System o New
~ Forced Air U Radiant
U Electric 1 I Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss [) As Approved C) Existing
BTU Rate [) As Per Plan () Variable
Category 502 - Residential-Both
I J Electric
D Replace
U Steam
I I Suppl.
. Direct Vent
Plan
I Solar 1 Solid
D Other
~ AlC U Vent
U Con. Burner
() Not Applicable
. Not Applicable
. Other
Value
o
Value
Use/Nature NSFRllnstall new HVAC system.
of Work
Fees: Valuation
Issued By: KM
$4,600.00
Plan Approval
$0.00
Permit FeePaid
$74.00
Date 03/22/2002
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
N8804 N DOUGLAS STREET
RIPON
WI 54971 - 0
Telephone Number (920)748-6494
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Djvj~.ion of Jnsp<:.:ctiun SE;)"vicE-:s
~lS Church AV~DU0
';';'.0. Box 1330
Oshkosh, WJ 54~03. JJ30
J"ax ~I (920) 236-508",
Pbone: (920) 2:%'::;O~8
HVAC PERlv1IT APPLICATION
].Ul fields/informaUon after bold categories must be provided.
Incomplete applications will not be processed.
DATE 3 .~O.OJ.
JOB ADDRESS
19Qq ~ICKORY
J;utSS/C IIOmf.J
SREWE..R I--lUt TIN G
'\
$ 7tJ .00
OWNER
CONTRACTOR
CIRCLE ALL APPLICABLE
USE CATE~ORY ~~~~~
FUEL ~. OIL
~
DUFLEX
lVIULTI - FAMILY
CO]v1!ViERCIAL
INDUSTRIAL
ELECTRIC
SOLAR
SOLID
SYSTEM
REPLACE
OTHER
TYPE '.'
RF..D IllJ'JT
STEAf"l
@
VENT
ELECTRIC
HOT \i\lATER
SUPPL.
CON. BURNER
IS CHIMNEY BEING LINED LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
j'llFJ\JUFACTURER
CHIMNEY TYPE
CHIMNEY A
CHIMNEY B
~ OTHER
NOT' APPLICABLE
HEAT LOSS
AS APPROVED
EXISTING
BTU RATE
AS PER PLJUIJ
VA..~IABLE
OTHER VP"LUE
NATURE OF WORK:
VALUE (Including labor and materials) $ if&,ov-
(
ELECTRICAL COlr.rRACTOR
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation
Fees
$ 0 to $1, 0 0 0 . 0 0 ........-.........................................................................................,...................................$ 20 . 00
$1, 000 . 01 to $10, 000 . 0 0 ...............................................................................................................$20 . 00 for firs t
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
$10,000.01 to $25,000. OO.......................c....................................................................................$155.00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over $ 2 5 , 0 0 0 . 0 0 ...................................................................................................i....................................$ 3 05 . 0 0 pI u s $ 0 . 50
per $100.00' valuation or part thereof
· Submit paynlent 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. \