HomeMy WebLinkAbout0089306-HVAC
ue
OSHKOSH
ON THE WATER
Job Address 1855 HICKORY LN
CITY OF OSHKOSH
No
89306
HVAC PERMIT - APPLICATION AND RECORD
Owner PAUL WAGNER
Create Date 08/15/2001
Contractor AIR TECH HEATING INC
Fuel ~ Gas I Oil
System ~ New
~ Forced Air U Radiant
U Electric I I Hot Water
Chimney Type U Chimney A C) Chimney B
Heat Loss . As Approved () Existing
BTU Rate . As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
1 I Solar U Solid
D Other
U NC U Vent
I I Con. Burner
C) Not Applicable
I Electric
D Replace
U Steam
I J Suppl.
() Direct Vent
C) Not Applicable
C) Other
Value
Value
Use/Nature NSFR/ HVAC installation
of Work
Fees: Valuation
Issued By: <]< rY\
$4,275.00
Plan Approval
$0.00
Permit Fee Paid
$69.50
Date 09/18/2001
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
~
O{!tQ[R
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 -13 -0 J
JOB ADDRESS /855 H ICKDlty I-ANC
OWNER PAUL WAGrJEIL
CONTRACTOR----LjlrL 'tECH HEATING INC-
CIRCLE ALL APPLICABLE
USE CATEGORY ~E FAMI~ DUPLEX
FUEL (GAD OIL ELECTRIC
SYSTEM ~ REPLACE
TYPE ~CED ~ RADIANT
MULTI-FAMILY
COMMERCIAL
INDUSTRIAL
SOLAR SOLID
OTHER
STEAM AI C VENT
ELECTRIC
HOT WATER
SUPPL.
CON. BURNER
IS CHIMNEY BEING LINED LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
MANUFACTURER
HEAT LOSS
CHIMNEY A
~o~
AS ;;; P~
--
NATURE OF WORK:
f/VAC tI\lS7ALLA'TJOtJ
CHIMNEY B
DIRECT VENT OTHER
NOT APPLICABLE
CH:IMNEY TYPE
EXISTING
BTU RATE
VARIABLE
OTHER VALUE
VALUE (Including labor and materials) $ Lj.d.7S.00
ELECTRICAL CONTRACTOR
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation
Fees
$ 0 to $1, 000 . 0 0 ......................................................................................._................~.........._................$ 2 0 . 00
$1,000.01 to $10, DOC>. 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 0..............................................................................:.............................$155 . 00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over $ 25 , 000 . 0 0 ......................................................................................................._~......_................._..$ 305 . 00 plus $ 0 . 50
per $100.00 valuation ortpart 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.