HomeMy WebLinkAbout0090431-HVAC
.",- G
OSHKOSH
ON THE WATER
Job Address 356-380 S KOELLER ST
CITY OF OSHKOSH
No
90431
HVAC PERMIT - APPLICATION AND RECORD
Owner Landmark Unlimited Partnership III
Create Date 10/03/2001
Plan C6-74-1001
Contractor GARTMAN MECHANICAL SERVICES
Fuel U Gas I Oil
System o New
U Forced Air U Radiant
I I Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss () As Approved () Existing
BTU Rate () As Per Plan () Variable
Category 511 - Ind. & Comm-Air Conditioning
U Solar U Solid
o Other
~ AlC U Vent
U Con. Burner
() Not Applicable
~ Electric
o Replace
U Steam
I I Suppl.
() Direct Vent
() Not Applicable
() Other
Value
Value
Use/Nature ~OMM/ #364/ Install additional AlC system,7 1/2 rooftop and ductwork, to supplement existing.
of Work
Fees: Valuation
Issued By: <K rY\
$9,200.00
Plan Approval
$0.00
Permit Fee Paid
$143.00
Date 10/11/2001
o Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address
520 W SO PARK AVE PO BOX 2264 OSHKOSH
WI 54903 - 2264
Telephone Number (920) 231-5530
~
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Division of Inspection Services ~
215 Church Avenue ~
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax ~ (920) 236-5084
Phone (920) 236-5048
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HVAC PERMIT APP~IQAT~ON
All fields/information after bold cat:egor~e!il'mq@t bc:ll P~9V~clc:llcl,
Incomplete applications will not be processed. .
S.1<~_.. .l ~~S--S--~~..O") 'fJATB$\a~\d
JOB ADDRBSS ~~ .~
::~~~~l\ .
CIRCLE ALL APPLICABLE
~
SOLID
INPUSTRIAL
FAMILY DUPLEX MULTI-F~ILY
FUEL OIL ~;CT~ SOLAR
SYSTEM REPLACE OTHER
RADIANT
STEAM
@
CON.
VENT
BUlUJER
TYPE
HOT WATER
..
SUPP~.
.
IS CHIMNEY BEING LINED LINER SIZE
Note: All chimneys shall be sized per the STU'a being vent~d.
MANUFAC'fliRER
CHIMNEY TYPE
CHIMNEY A
CHIMNEY B
EXISTING
DIRECT VENT
NOT APPLlCAaLE
OTHER VALUE
OTHER
HEAT 1.0SS
AS APPROVED
BTU RATE
AS PER PLAN
VARIABLE
,
OJr19(9-W~bJp {UJ~-I-~~
VALUE (Including labor and materials) $qC)(){).()()
ELECTRICAL CONTRACTOR
Electrical installation
contractors.
Valuation'
Fees
. $ 0 to $ 1 , 000 . 0 0 ....:.........'..........:..................................................................................,............................$ 20 .'00
$1, 000 . 01 to $10, 000 . 0 0......................._......._.......;.....:........,........_...............,.,........,.........,........$ 2 0 . 00 for. f ir~t
$l,oOn.Oo plus $1.50 per $100.00 val~ation or part thereof
$10 I 000 . 01 to $ 2 5 I 000 . 0 0...........................................................,...,...............,..,..,.,...."....,.........$155 . 00 for of ix-st
$10,000.00 plus $1. 00 per $100.00 valuation or part::. thereof
Ove r $ 2 5 I 000 . 0 0 .................................................._.......................:......,.........."'.._..,...;.....,...._.,....".,..,...$ 305 . 00 pi us ~ 0 . 50
per $100.00 valuation or part therepf
.
.
.
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.
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