HomeMy WebLinkAbout0082862-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
Job Address 2339 HAMILTON ST
Contractor
~"'1 ,_
CITY OF OSHKOSH
No 0082862
HV AC PERMIT - APPLICATION AND RECORD
Owner
Create Date 10/05/2000
FRANK W MATSCHNIG & WF
RASMUSSEN'S HEATING & A/C INC
1,( Gas
pew
l"J forced Air
I I E:lectrlc
Chimney Type r) Chimney A
Category 502 - Residential-Both
I E:lectrlc
1,( I Replace
USteam .
1 I ::>uppl.
( ) Ulrect Vent
Fuel
System
Heat Loss
BTU Rate
Use/Nature
of Work
Fees: Valuation
Issued By:
Plan
1011
I ::>olar
! ::>olld
I
n-Other
u Vent
r ) As Approved
r ) As Per Plan
U Kadlant
I I Hot Water
( ) Chimney 1:3
( ) I::xlstlng
[~ AlC
I I Con. Burner
( ) Not Applicable
( ) Not Applicable
( ) Other
Value
( ) Variable
Value
$4,000.00
Plan Approval
$0.00
Permit Fee Paid
$65.00
S'rY\S
Date 11/10/2000
U Permit VOided I
Signature
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Date
Address
Agent/Owner
1915 KNAPP STREET
OSHKOSH
WI 54902 - 6612
Telephone Number (920) 235-6569
3-1 3-1 996 1: 26PM
FROM RASMUSSEN'S" HV~. IN 9213 235 364.2
P,l
~
O{~QfH
Div1$1on of rn.pection Services
215 Chureh Avenue
p.O, Box 113()
O&hkOSA, WI S4~03-1130
Fax # (9201 23~-S084
pnone (92P) 236-$048
HVAC PERMIT APPLICATION
All fields/information after bold categories must be provideo.
Incomplete applications will not be processecl.
DATB
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\
JOB ADDR.ESS 2..") "'3 ~
OWNER. 'F yt.- r-\ --.J \<:' yY',
r I . (
r--t~""-~Y'-.
,
(>..\ ~ <:, \-1, 'f\.J \. Q;,
CONTRACTOR ~ A So r-.". \.;..A.. s;: s;- ~ ~s.
1-1 u c.,.c....
CIRCLE ALL APPLICABLE
USE CATEGORY s'~;;:;~' DUPLEX
FUEL ~~ '---"'---oIL--_:.~IJEcrRrcr
. '::---"
~'
RADIANT
MULTI-FAMILY
SOLAR
CONMERCIAL
INDUSTRIAl
t:OLID'
SYSTEM
NEW
;;~;~;~
'--.--
ELECTRIC
OTHER
STEAM
~,,~, ..........~
~!.cl.
VENT
TYPE
HO'r.. w.uEa. SUPPL-.
. I ~t';ve r.;) .4 L. /( f:' /I r,) '1
IS CBIMN1:Y B1!::tNG LINKD rv () LI,NSR-SIZE.
Note, All chimneys shall be sized per the BTU's being vented.
CON. BURNER
~IANUFACTURER
lIBAT LOSS
AS APPROVED
EXISTING
DIRECT VENT
NOT AP:i?LICABLE
OTHER
CHIHNBY 'l'YPIi;
CHIMblE'LA ..
CHIMNEY .8 ..
NATURE 0' WORK:
AS PER PLAN
--::c t-l .>,n-~ t_C-..
'f
VARIABLE
G:,o / 0/)-0 \\?
\' /..;.,. -\-0 U
\
OTHER \~'ALUE
-r '-, -\=~ \.1'\.,...1 p,."a. c.
A:\ C--
. BTU RATE
VALUE' (Including labor and JIlaterialfl) $ ~COo. 0'0
ELECTRiCAL CONTRACTOR ---t---b B-'~\-...C...- ~\ (2 c::\ '"'L l ~
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuatio:l} Fees
$ 0 co $1, 000 . 0 0 ................._......._......................_..m................................................................._...........$ 2 0 . DO
Sl, 000.01 to $10,000. 00...........-.................--...........-.............-.-....-.......-.___.__.._..._.~........$20. 00 for first
$1,000.00 plus $1.50 per $100.00 valuc,~tion or part t.herec.f
$10 . 0 00 . 01 to $ 2 5 , 0 0 0 . 0 0 ....................._...................._..........................__._m._....___.._.............$ 155 . 0 0 for fir s t
$lO~ 000.00" pI'uS' $L 00 per'$l'O-O-~ oO'valuation or part thereof
~05.00 plus $0.50
per $100.00 valuat~on or part thereof
. Submit payment with application. Failure to pay within 30 days will result i:.1
fees being doubl~d or $100.00 plUS the normal permit fee, Nhich ever is
greaeer.
Over $25, 000.00._._.._....._......_.........