HomeMy WebLinkAbout0088316-HVAC
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OSHKOSH
ON THE WATER
Job Address 2445 HICKORY LN
CITY OF OSHKOSH
No
88316
HVAC PERMIT - APPLICATION ~ND RECORD
Owner MIKE ZESSIN
Create Date 04/23/2001
Category 502 - Residential-Both
I Electric
o Replace
U Steam
U Suppl.
Plan
Contractor CONDON TOTAL COMFORT
Fuel ~ Gas UOil
System ~ New
~ Forced Air U Radiant
U Electric I I Hot Water
Chimney Type U Chimney A () Chimney B
Heat Loss () As Approved () Existing
BTU Rate U As Per Plan () Variable
I Solar I Solid
o Other
~ AlC U Vent
I I Con. Burner
() Direct Vent () Not Applicable
() Not Applicable Value
() Other Value
Use/Nature l'ISFRI Hvac for new home. Installing 80,000 Btu furnace and 3 ton a/c.
of Work
Fees: Valuation
$6,150.00
Plan Approval
$0.00
Permit Fee Paid
$98.00
Issued By:
Date 08/15/2001
o 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
11 BLACKBURN ST
RIPON
WI 54971 - 0
Telephone Number (920) 748-3186
~
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DlddOD of Iupectioa .ude..
211amrGb AftDU
..o:aox 1130
oabkoCb, WI 14'OJ-l1JO
Fax I ('20) 2J'-10'.
P~oae ('20) 2J'-50.'
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HVAC PERMIT APPLLCATION
All fields/information after bold categories must be provided.
Incomplete applications will not be processed.
JOB ADDRIlS8 R,VV-r ~ ~
OWNER '->r;~ ~
CO!I'1'RAcroR_i1h.A~ ..:J..:tzJ. ~..4..c. .
C:IRCLE ALL APPL:ICABLE
USB CATEGORyGNG~ DUPLEX
P1n(L ~ OIL
~
~~-AIR,)
ELECTRIC
DATE
1-dS-OI
MULTI-FAMILY
ELECTRIC
SOLAR
COMMERCIAL
SOLID
INDUSTRIAL
SYSTEM
REPLACE
OTHER
TYPB
RADIANT
STEAM
G0
CON.
VENT
BURNER
HOT WATER
SUPPL.
':IS CJ!IKNBY BBmG LINED LINER SIZE
Note: All chiameys shall be sized per the Bro's being vented.
CHDIHBY 'l'rPB .CHI~,~ . ~~ 0 D
HBAT LOSS AS APPROVED EXISTING NOT APPLICABLE
I) t' j..);.j) .
-. ."
MANUFACTURER
., .
,. dhmR'
BTU RATE
AS PER PLAN
VARIABLE
~ OTHER VALUE
NATORB OJ!' WORK: /- ~ ~~ ~
I~~ ~T~!~~
VALUE (Includi.ng labor and materi.als) $ 6/J]>. _
~
ELBCTRICAL CONTRACTOR__
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation
Fees
$0 to $1,000.00__........
.-.__$20.00
$1,000.01 to $10,000.00 .....-.--...-.-___$20.00 for first
$1,000.00 plus $1. SO per $100.00 valuation or part thereof
$10,000.01 to $25,000. 00.._._._._._._._._._._.__._._._._._._.____._._._._....._.-.-.-._._..$155.00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Ove r $ 25 , 000 . 0 0 ..........................-.......-................_.........._._............._._...._._._..............~....................$ 3 0 5 . 00 plus $ 0 . 50
per $100.00 valuation or part thereof
· Submit payment with application. Failure to pay w thin 30 days will result in
fees being doubled or $100.00 plus the normal perm t fee, which ever is
greater.