HomeMy WebLinkAbout0085284-HVAC (furnace)
o
OSHKOSH
ON THE WATER
Job Address 510 HIGH AVE
CITY OF OSHKOSH
No
85284
HVAC PERMIT - APPLICATION AND RECORD
Owner HOWARD B/KELL Y S NAULT
Create Date 04/12/2001
Contractor CONDON TOTAL COMFORT
Fuel 1""1 Gas I I Oil
System o New I
~ Forced Air U Radiant
L J Electric U Hot Water
Chimney Type U Chimney A . Chimney B
Heat Loss [) As Approved U Existing
BTU Rate KJ As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
~ Replace
U Steam
I I Suppl.
U Direct Vent
I Solar I Solid
o Other
U AlC U Vent
U Con. Burner
U Not Applicable
. Not Applicable
. Other
Value
Value 100,000
Use/Nature SFR / REPLACE FURNACE AND CHIMNEY LINER
of Work
Fees: Valuation
Issued By: sn 5
$1,754.00
Plan Approval
$0.00
Permit Fee Paid
$31.00
Date 04/12/2001
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 1-800-452-1212
~
~
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 Y/ftJ 4 /
JOB ADDRE~~~h ~
OWNER ~-CLv..JJ:;?t
~('~~I Cn.f~~~.
CONTRACTOR
CIRCLE ALL APPLI~-
USE CATEGORY ~NGLE ~ DUPLEX
FUEL ~ OIL ELECTRIC
SYSTEM .... EW ~
TYPE FORCED AIR RADIANT
MULTI-FAMILY COMMERCIAL
INDUSTRIAL
SOLAR SOLID
OTHER
STEAM Alc VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BEING LINED ~ LINER SIZE S.r 'I d'-J" I MANUFACTURER
Note: All chimneys shall be ~ized per the BTU's being vented.
CHIMNEY TYPE CHIMNEY A ~ DIRECT VENT OTHER
HEAT LOSS AS APPROVED EXISTING ~OT APPLICABLE
BTU RATE
AS PER PLAN
VARIABLE
OTHER VALUE /M/ /...tJ)
NATURE OF WORK:~ CA!!i /6-;0, ~ fi7V1d jCL.o pU.
// f/ .~
VALUE (Including labor and material $ /1s;/-
ELECTRICAL CONTRACTOR ~O--r ~AUAr-.- ./
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation
Fees
$ 0 to $1, 0 0 0 . 0 0 ....................................................................................................................................... $ 2 0 . 0 0
$1, 0 0 0 . 0 1 to $1 0 , 0 0 0 . 0 0 ............................................................................................................... $ 2 0 . 0 0 for fir s t
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
$1 0 , 0 0 0 . 0 1 to $ 2 5 , 0 0 0 . 0 0 ............................................................................................................ $1 5 5 . 0 0 for fir s t
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over $ 2 5 , 000 . 0 0 .......................................................................................................................................$ 3 05 . 00 pI us $ 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.
APR-17-2001 07:28
P.01
~
olrH<07:t!
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Cir'y OfOIJ't...kosh
OJ'ofWGI'i of frup;:ct""il ScrviC"c-s
l r} CIlun:h A-.nllt
PO Il,,~ 11)0
o.hI<o,l> WI S490?1I 30
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F... 920-Z)<>-SO*"
Electric Installation! Verification
i
j(I) ~We)
CUMINGS ELECTRIC INC.
(Electrical Contractor Name)
1414 COUNTY aD .J_::,...!_.._NEENAH,
(Address) (City)
;
WI 54956
(State)
(Zip Code)
, .
;have been contracted to perform electric installation work !for HOWARD NAULT Jil.
l " i
(Na.iue of party contracted to)
~t the fonowing address; 510
, ;
HIGH AVE.
(Address where tork will be performed)
i
i
(Check One or Descqbe the Nature of Work)
j
~e!nature of the work consists of:
~
Reconnection or new circuit for replacement Heating Plant and/or NC Condenser.
Reconnection OT new cir~uit for replace~ent Electric Water Heater.
Reconnection of the Serv.ice Entrance qable. Meter Box, alterations to receptacles and
lighting fixtures due to siding I soffi~ installation. Note: New Service Entrance
Cables will require a separate- permit.
Reconnection or new circuit fOT other p~anently wired appliances I fixtures.
I
Other .
..
the value of this work is $ 60.00
llhereby v~rif~ .this ~ork wil~ be performed by an empl~!ee ofth~c~mpa.'y and f~rther verify the
rbconnectlon I Installation wlil be done tJl compliance ~Jth rnanUlaClurer and Elcclnc code
I . i
rFqmrements. i
. I
i
;
RIC~~~ J WENZEL
(Print Name of Officer)
1
i
4/17101
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(Date)