HomeMy WebLinkAbout0099967-HVAC (install liner)CITY OF OSHKOSH No 99967
OSHKOSH
ON THE WATER
Job Address
Contractor
HVAC PERMIT -APPLICATION AND RECORD
1219 SPRUCE ST
BLACK CAT CHIMNEY SERVICE & CON~
Owner ROBERT D/JANET DAVIS
Category 500- Residential-Heating & Ventilating
Create Date 02/26/2003
Plan
Fuel [] Gas I [] Oil 1 [] Electric 1 E~ solar
System [] New I [] Replace J [] Other
~j Forced Air I I~ Radiant I ~_J Steam I ~ NC
LJ Electric I [] Hot Water 1 [] Sup¢. 1 E7 Con. Burner
Chimney Type ~ Chimney A ~ Chimney B O Direct Vent (.) Not Applicable
Heat Loss ~ As Approved (.~ Existing O Not Applicable I Value 0
BTU Rate ~.) As Per Plan ~ Variable ~ Other I Value 140,000 BTU'S TOTAL
Use/Nature SFR/Installing UL listed aluminum liner for gas furnace and water heater. Applying masonary water repellant to brick work on outside of
of Work chimney, above roof line.
Fees: Valuation $425.00 Plan Approval $0.00 Permit Fee Paid $20.00
IssuedBy: ~~.//_~' _~~~_~ Date 02/26~2003
[] Permit VoidedI
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date c.~ 'c>~:) '-/_.,) "~
AgentJOwner
Address PO BOX 1946 OSHKOSH WI 54903 - 1946 Telephone Number (920) 279-0197
P,o. Box LL30
O~ko~h. #! S4903-1130
?~x (920) 23~-501¢
9h~ne (920)
HVAC PBRMIT APPLICATION
All fieldl/information &feet bold categories must be provided.
Incomplete applicitionl will hOC be processed.
ELECTRIC
DUPLEX
ELECTRIC
REPLACE
RADIANT
HOT WATER
MULTI- ~AMILY
SOLAR
STEAM
SUPPL.
COMMERCZAL
SOLED
No=e= Ail ch/~eye shall be sized per the BTU'i being venCed.
INDUSTRIAL
~'le~- e//
CZLT~ TYPB CHIMNEY A CHIMNEY B ( DIRECT VENT)
OTHER
snT Lose AS A OVZO EX s :z o
ValuaCio_..._~n ~ees
$1,000.00 plus $1.50 per $100.00 valua~ion or par= thereof
$10,000.01 Co $25,000.00--.-~ ................. : .............. -- ....... $15S.00 for firsC
$10,000.00 plus $1.00 per $100.00 value=ion or par= =hereof
per 8100.00 valuation or par~ =hereof
· Stlbmi2 p&ymen~ with &pplica=ion. F&ilure to pay wi=bin 30 days will result in
fees being doubled or 6100.00 plus =he normal perm/2 fee which ever ie
greater. '