HomeMy WebLinkAbout0084624-HVAC (furnace) CITY OF OSHKOSH N 84624
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OSHKOSH HVAC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 303 307 W 9TH AVE Owner STEVE MASSE Create Date 03/09/2001
Contractor GARTMAN MECHANICAL SERVICES Category 500 Residential- Heating Ventilating Plan
Fuel Gas Oil Electric Solar Solid
System New Replace I I Other
Forced Air Radiant Steam A NC 1 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
Use /Nature SFR REPLACE FURNACE(.J03)
of Work
Fees: Valuation $1,750.00 Plan Approval $0.00 Permit Fee Paid $31.25
Issued By: 1A5
Date 03/09/2001
L 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 520 W SO PARK AVE PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920) 231 -5530
S.
(D
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903 -1130
Fax (920) 236 -5084
N 1N W A fR
Phone (920) 236 -5048
HVAC PERMIT APPLICATION
All fields /information after bold categories must be provided.
Incomplete applications will not be processed.
DATE (3 01
JOB ADDRESS 30 C�. Cr i'lL
OWNER Ci S CJ►'Q 1( QA
CONTRACTOR Q f L bYkQ,✓l
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMIL DUPLEX MULTI- FAMILY COMMERCIAL INDUSTRIAL
FUEL GAS OIL ELECTRIC SOLAR SOLID
SYSTEM NEW REPLAC OTHER
TYPE FORCED A RADIANT STEAM A/C VENT
ELECT IC HOT WATER 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 VENT OTHER
HEAT LOSS AS APPROVED EXISTING NOT APPLICABLE
dt
BTU RATE AS PER PLAN VARIABLE OTHER VALUE
NATURE OF WORK:
VALUE (Including labor and materials) 1 1bU 04)
ELECTRICAL CONTRACTOR
Electrical installation of new /rep einenL equipatent 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
$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. $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.
Electric Permit Work Card
Job Address 303 307 W 9TH AVE Permit Number 0 Create Date 03/09/2001
Owner STEVE MASSE Contractor BEEZ ELECTRIC
Category 612 Residential Single Family Addition /R
Service 0 New 0 Change 0 Temp N/A Type 0 Overhead 0 Underground N/A
Volts Circuits Fixtures
Amps Switches Receptacles
Fee $20.00 0 Value $0.00
Appliances FURNACE
Use /Nature SFR WIRE FURNACE REPLACEMENT REMODEL (on 5/2/01, E.C. mentioned that the job is on
of Work hold, the structure may be razed)
Inspections:
Date 5/24/01 Type Rough In Inspector KEVIN BENNER t J Approved
3:40 PM
Date 6/1/01 Type Service Inspector Kevin Benner u Approved
ON SITE REQUEST 5/31/01
FAXED TO WPS 6 /1 /01,MAILED 6/4/01
1 a s