HomeMy WebLinkAbout0090925-HVAC (a/c)OSHKOSH
ON THE WATER
Job Address 536 PYLE AVE
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner GILBERT A & G D WUETHRICH
No 90925
Create Date 10/16/2001
Contractor CONDON TOTAL COMFORT Category 501 -Residential-Air Conditioning Plan
Fuel Gas Oil / Electric Solar ~ Solid
System ^_ New ^/ Replace ~i ^ Other
^ Forced Air Radiant Steam / A/C Vent
Electric ^ Hot Water Suppl. Con. Burner
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
Fees: Valuation $1,595.00 Plan Approval $0.00 Permit Fee Paid $29.00
Issued By: K ~ Date 10/30/2001
^ Permit Voided)
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 11 BLACKBURN ST RIPON WI 54971 -184 Telephone Number (920) 748-5050
~--~ Division o! taspaotias f~rioss
af; C'~sa'b Awnw .
*.O.-fox 1170
OsLkosh, Ifi f~l07.1170
rax s (lso~ s7c•soc~
phone (lsol s7c-sou ~,
HVAC PERMIT APPLICATION
All fields/information after bold categories must be provided.
Incomplete applications will not be processed.
DATE /O ~ ~_
JOH ADDRSSS S~~L ~ s~a , ~.~. ~ ,
O~RNBR
CIRCLE ALL .APPLICP-BLB
IISB GTBOORY SINGLE FAMILY DUPLEX
:~:
FIIHL ~'-""" Gp-S OIL ELECTRIC
SYSTS![ NEW Rgp~Cg
TYPE FORCED AIR RADIANT
ELECTRIC
MULTI-FAMILY CONIIKERCL4L INDUSTRIAL
SOLAR SOLID
OTHER
STEAM A/C Vg~
HOT WATER SUPPL.
CON. BURNER
~IS C~BY BSIN(~ LINED ~-----'-° LINER SIZE MANtJFACT[JRBR '• ••
Note: All chimneys shall be sized per the BT[T's being vented. -'-~-
CHIIOTSY TYPS ~ CHI R CH .• B DIRECT V$NT ~ ~.'~ OTHER• . .
S81-T LO88 AS APPROVED STING NOT APPLICABLE .
BTII RATE AS PER PLAN VARIABLE OTHER VALUE
NATQRB of 1PORK : ~,,~'¢~~, ~, pad,-~3 ~ q~~ ,~z~~ _ ~- ~ l -
VALUE (Includiag labor afn~Id~ materials) $ /.$"-~~', .,
ELECTRICAL CONTRACTOR-- ~.~C~L,~,c.~,,,`' -= , ~~0,~~.t~, ~,
electrical installation of new/replacement equipment shall be done by licensed
contractors.
valuation
Fees
$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
510, 000.01 to $25, 000. 00._._.___._._._._._._._._._ ..$155 .00 for first
$10,000.00 plus $1.00 per $10 0.00 valuation or part thereof
ewer $ 2 5, 0 0 0. 0 0..........._._._...._._._.-.-._._._...._._.
......_._._...._......._._._._._. ............._..............$305.00 plus $0.50
per $100.00 valuation or part thereof
• 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 ie
greater.
...
tor.row...
i1! CaretK ~ ~~
p~ ttf0_
OR~t It~lKlotO ~
/4 1~20.rg,p{~
iit~utag fixtares dtta d s; / soffit Note;:: Naw SatvIce Fatriince -,
Cables w~li require s separst~ permit,
._.._ Itoco~ectioa er naw circuit for ether pa~mently wired appli~aaces /fixtures.
. Other
r
. _
~~ raluv of this work is S /SDI ,-
~Y vacity this work will be pcri'ormed b an
itmectian / imtallsdon will be darer is w y ~liaace to th atuattafactuner e»and Eloctric er~vrn'fy the
teats.
i
.~ '
i
c .v ~T ~~ a
~sturo t~iaer) (Priest une of OiSc.r) tau)
I
m
Electric IastAll~tIoa ~ eritication
i
,~.__
I 1414 Cty Itd JJ Kitt ~ fifl 54956
(Addccaa) (city) ~ "'~'~'~
i (Mate} (Zip Cade)
contracted eo i ~ -
perform electric installatioa want f~C _
f ~
_ ~ P~q~ ~~~ to?
at tie liow;u~ addrass. _ ~ -
I .
( ~ wIII be porfamed) .
= of the wodc aoAtitts of : (Cheek prte oe Deseti a the Nature of Work)
i
i X Itecor~xction ar aarv circwt for ~+op2 H .
"""' eatist~ Pka~sadlor A/C Condcaw.
.._ Rfloow~ectioa or aCw circuit foc ~ Electric Watee He+ttac. _ .
.~ Reeoanoctioa orcha Service 1e. Mawr Baac'alxoratic:la tb toC~ptseles and
4..
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TOTAL P.01