HomeMy WebLinkAbout0090643-HVAC (a/c)CITY OF OSHKOSH No 90643
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address
1303 HAZEL ST
Owner SABAH A/LAYLA K RAWANDUZY Create Date 08/1012001
Contractor
TENTH STREET STATION INC
Category 501 - Residential -Air Conditioning Plan
Fuel
L Gases
Oil
Ly" Electric
Solar Solid —�
System
Z ew
Replace
Other
Forced Air
Radiant
L Steam
✓ A/C L Vent
ElectriZ---7
Hot Water
Suppl.
Lj Con. Burner
Chimney Type
U Chimney A
Chimney B
Direct Vent
Not Applicable
Heat Loss
As Approved
0 Not Applicable
Value
BTU Rate
U As Per Plan
L Variable
0 Other
Value
UselNature SFR/ Install new 2 Ton A/C. *Drexler took out electric permit on 8 -10 -01
of Work
Fees: Valuation $1,441.78 Plan Approval $0.00 Permit Fee Paid $27.50
Issued By: V—Wl Date 10/18/2001
❑ Permit Voided J
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 924 OHIO STREET OSHKOSH WI 54902 -0 Telephone Number 236 -8770, MOBILE 7
08/06/2001 21:22 9202360150 TENTHSTREETSTATION PAGE 05
Division of Inspeccien Scr-vicess
2: ` ch —'h AVZnUC
P,(.. Dox 1130
DAA05h. WI 54902-1130
F••x 9 (920) 236 -SOO4
V:.C.ne (920) 236 -5048
HVAC PERMIT APPLICATION
;.11 _ield:, /information after bold categories must b[r prov',d; ld-
Incomplete applications will not be processeddi.
2 DATE
J03 ADDRESS %3a
OWNRR J4lt ,!2_a kA V
CONTRACTOR ��(AA f i�Yilli 7i�'f` /At �h,(
CIRCLE AL." APPLICABLE,
USE CATEGORY 9`I ;tiGLE FAMILY DUPLEX MULTI- FAMILY COMMERCIA 1NJJ.3'I'RIAL
FUEL CF << OIL -. SOLAR SOLID
SYSTExt REPLACF OTHER
TYPE CR.CLI.) AIR P- 2kDIANT STEAM y V=-VT
L•'I, =CTR'C HOT WATER SUPPL . CON . ntilzrIER
IS CHIMNEY BEING LINED A149 LINER SIZE MANUFACTURE'R____
Note: All chimneys shall be sized per the BTU's being vented.'
CHIMNEY TYPE MIX- CRIMNEY A CHIMNEY E DT_T2E�E 7,12 EN
HEAT LOSS AS APPROVED EXISTING NOr.A�- PLICA ?T=
BTU RATE AS PER PLAN VARIABLE OTHEe VALUE z
NATURE OF WORK:
tce
VALUE (Inclu(.Uing labor and materials) S
Electr`.cal of new /replacement equipment shall be done by lice- :rsf!('
contrzr.tors .
Jaluaciazl �ezv
>0 to $1"000-0G ........................... .. ........................... .......... ............ ........... ...........,.. ........... .................. $20.00
;1,000 -01 to $10,000.00 ................... S20.00 co-' first.
$1,000.00 plus $1.50 per 5100.00 valuation er pa.c cl.ereof.
;10,000.01 to S25,000.00_ ............... ..... ..5155.00 :Oz' `' -S- $;.0, 000.00 plus $1.00 per $100.00 valuation o_- hart r bereo.
)Ver S25, 000. 0c ............................................................................................................ ...........................S305-00 50 . s0
per S100.00 valuation o:i part. t?:szreof
Submir- paymz7nt v:itb application. Failure to pay within 30 days loll i "esu'_: in
fees being 1.:uhled cr $100 00 plus the norm7,1 permit fee, whirl: r-.�er i.';
greater.