HomeMy WebLinkAbout0088232-HVAC (a/c)OSHKOSH
ON THE WATER
Job Address 665 GOLDEN IRIS DR
on
Contractor ANDRESEN SHEET METAL Category 501 -Residential-Air Conditioning Plan
Fuel / Gas Oil Electric Solar Solid
System ~/ New ~ ~ Replace ~ ~ 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
BTU Rate As Per Plan Variable Other Value 1.5 ton AC
Use/Nature
of Work
CITY OF ~~HKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner RICHARD UMARY J PALMOUIST
Fees: Valuation $1,300.00
Issued By: ~'~
Plan Approval $0.00
Permit Fee Paid $24.50
No 88232
Create Date 08/10/2001
Permit Voided
Date 08/10/2001
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Address 2913 WITZEL AVE
Agent/Owner
OSHKOSH WI 54904 -6539
Telephone Number (920) 233-0323
Division of Inspection Services A,
215 Church Avenue V
P.O. Box 1130
Oshkosh, WI 54903-1130
I ~
' Fax # (920) 236-5084
On
THE WATER Phone (920) 236-5048
HVAC PERMIT APPLICATION
All fields/information after bold categories must be provided.
Incomplete applications will not be processed.
JOB A
OWNER
CONTR
CIRCLE ALL APPLICABLE
USE CATEGORY INGLE FAMILY ~ DUPLEX
FUEL GA OIL ELECTRIC
SYSTEM NE REPLACE
TYPE FORCED AIR RADIANT
DATE
MULTI-FAMILY COMMERCIAL INDUSTRIAL
OTHER
SOLAR SOLID
STEAM A/C
ELECTRIC HOT WATER SUPPL.
IS CHIMNEY BEING LINED LINER SIZE ~j/,~+~.---
Note: All chimneys shall be sized per the BTU's being vented.
VENT
CON. BURNER
MANUFACTURER
CHIMNEY TYPE CHIMNEY A CHIMNEY B RECT-V OTHER
HEAT LOSS AS APPROVED EXISTING„~ NOTrAPPLICABLE
-"' ~ ~-;
BTU RATE AS PER PLAN VARIABLE OTHER VALUE~Z ~ ~~~~
NATURE OF WORK: l
~d~ a.~1 ~v~ /
VALUE (Including labor ar~ materials) $ 3~'a~
ELECTP.IC.~,I, CC'I'TP.ACTOR~-~ G~~~.F.~~ ~_/GEC j~/G
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation Fees
$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, 000.01 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
• 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.