HomeMy WebLinkAbout0092600-HVACOSHKOSH
ON THE WATER
Job Address 1360 JUDY LEE (:T
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner
No 92600
Create Date 11/26/2001
Contractor BREWER HEATING Category 502 -Residential-Both Plan
Fuel / Gas Oil Electric Solar Solid
System ~/ New ~ ~ Replace ~ Q Other
/ Forced Air Radiant Steam / A/C Vent
Electric ~ Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value 0
BTU Rate As Per Plan Variable Other Value 60m BTU
Use/Nature
of Work
Install new
Fees: Valuation $4,800.00 Plan Approval $0.00 Permit Fee Paid
Issued By: ~yy~
Permit Voided
Date 02/11/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Agent/Owner
Address N8804 N DOUGLAS STREET RIPON WI 54971 -0
$77.00
Date
Telephone Number (920)748-6494
Division of Inspection Services
215 Church Avenue
%i.P.O. Box 1130
~~ Oshkosh, wI 59903-1130
VJc~w~nn wnuu FdX ~ (920) 236-5089
Phone (920) 236-5098
HVAC PERMIT APPLICATION
All fields/information after bold categories must be provided.
Incomplete applications will not be processed.
DATE ~. (~.(J~
JOB ADDRESS I3~o ~UD,y ~,~ £ ~~'` .
OWNER
G ~u.~y uc~m ~s
CONTRACTOR ~ R ~~ ~ ~ fi4-T1IU~j
CIRCLE AL;L APPLICABLE
~_...
USE CATEGORY I17GLE F ~IL1' DUPLEX
FUEL /C~~ OIL ELECTRIC
SYSTEM ~ REPLACE
---_-_ __
.` TYPE ,i %~ FOB-E•H-"AIR"~ RADIANT
~E-LECTRIC HOT WATER
MULTI-FAMILY
SOLAR
OTHER
~~u
~~
COI~I~iERCit'-~L iISDUSTRI%L
SOLID
STEAM /C VENT
SUPPL. CON. BURNER
IS CHIMNEY BEING LINED LINER SIZE MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY B DIRECT!-Z'i"~ OTHER
HEAT LOSS AS APPROVED EXISTING NOTrAPPLICABLE
BTU RATE AS PER PLAN VARIABLE OTHER VALUE `iiDVy~/ ~r~ y~
NATURE OF WORK:
VALUE (Including labor and materials) $ 'i~`~l7tJ "
ELECTRICAL CONTRACTOR_
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation
$0 to $1,000.00
20.00
$1, 000.01 to $10, 000.00 ...............................................................................................................$20.00 for first
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
$10, 000 . Ol to $25, 000.00 ..........................................................._...............................................$155.00 for first
$10,000.00 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
Fees
• 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.