HomeMy WebLinkAbout0088840-HVAC (boiler)OSHKOSH
ON THE WATER
Job Address 819 JOHN AVF
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner JEFFREY J WICINSKY
No 88840
Create Date 08/01/2001
Contractor RJ KAMPO PLUMBING & HEATING INC Category 500 -Residential-Heating & Ventilating Plan
Fuel Gas Oil Electric Solar Solid
System ®New ~ ~ Replace ~ ~ Other ~
Forced Air Radiant Steam ~ A/C Vent
Electric Hot Water Suppl. Con. Bumer
Chimney Type Chimne A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature
of Work
nstallig new
Fees: Valuation $5,900.00 Plan Approval $0.00 Permit Fee Paid
Issued By:
Permit Voided
Date 08/30/2001
In the performance of this work, `1 g~r~o perf~orm~Il~rk ur uant to rules governing the described construction.
Signature ~ ~~ i.'Z-~'~~:~!) / ~"~/~,//~i.
Address 1000 S WESTLAND DR
AgenvUwner
APPLETON WI 54915 -8862
$93.50
Date
Telephone Number (920) 730-9600
Rug 21 O1 l0:58a Code Enforcement
Divisivm of ?nspection ServicRe
215 Church Avenue
P.O. Pcx 1130
vahkosh, FBI 54503-1139
~ ^t ~ FE.X {920} 236-5099
Phone ;520} 236-5049
920-256-5084 p,l
POSt-itm' Fax Note 76'~ >~t° Zt J,pi pages- Z
T'o ~pL'r'1 Frcm ~ ~~E
Go.lDept ~o•
Phane 0 Pnare ~ 23~ _ ~~~
r
Fax +r ~t'7,0'~3G -t~'1Lt~ Fcx1t
HVAC PERMI'T' A.P~~~A~I®N
All fieldsjinformaticn after bold categories must A° provided.
Incomplete applications will nat be processed.
DATL~~2~ ~i~D~
.708 AD~DRES S_~~ ~U~i1 ~ ~"rlt
OwNBR ~r ~~/~ ~ `
CON'>rR~CTOR K . T I .l n/l/~ /~ ~ v b ~ ~f T ~ ,
CIRCLE ALL APPLICABLE
USE CATEGORY SINULE FAMILY UPLL~X MULTI-FP.MILY COMMERCIAL T1uDUSTRIA.L
FUEL (3AS OTL ELF~CTRIC SOLAR SOLID
SY3T8lS NEW REPLACE OTHFsR
TYPE FORCED AIR RADIAI~TT STEAM A/C G'E~NT
BLECTRIC HOT WATE SUPPL. CON. BURNER
IS CHIMNEY BEING LINED LINER SIZES MAN'JFACTUP.ER
Note: All ohimneys shall be sitied per the STU's being venked.
CHIMNEY TYPE CHIMNEY A HIMNB'Y $. DIR~C': VENT OTHER
HEAT LOS$ AS APpROV~ EXISTING NCT APPLICABLE
BTU RATE AS PER PLAP3 ~/~VARSIABLE / OT1i$R VALUE J /
NATURlti OF 1QORK: i,,r N~r.,hL 1~--~ ~ " C~V ~n~~~/ jN ~G(l~~v ~ G~SL' ,f~ ~~ Kt y/~Bc`/t s~
VALUE (Including labor and materialet} $ ~~ ~
ELECTRICAL CONTRACTOR ~ ~~~
Electrical installation of new/z placemen equipment shall be done by =icensed
contractors.
Valuation
Fees
$ 0 t o $1, 0 0 0. U 0..........._._....».» ................................»............_................»............,........._...................., $ 2 0 .0 0
$1, 0 0~. 01 t o 510 , 0 0 0_~~-~ ..............................................................»....,....,....»......~...........$ 2 0 .0 0 for firs t
'$1,000.00 plus 51.50 per $"00.00 valuation or part thereob
$10 , 0 0 0.01 t c$ 2 5, G U U. 0 0........» ............................»..»....,........._.»..»......_._......................»...» $15 5, 0 0 f o r firs t
510,000.00 plus $1.00 per $100.00 valuation or part thereof
Over $25, 000 .00.»..»..........»..........»...._....... '........».._......._.........__.........._....,........_ ...............$305.00 plus $0.50
per $100.00 valuation or part thereof
• Submit payr:ient with application. Failure to pay within 30 days will result in
fees being doubled cr $lOG.00 plus the normal permit fee, which Peer is
greater.
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