HomeMy WebLinkAbout0090653-HVAC (a/c) CD CITY OF OSHKOSH No 90653
OSHKOSH HVAC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 303 SWEET ST Owner KENNETH J KRUMENAUER Create Date 09/12/2001
Contractor TENTH STREET STATION INC Category 501 Residential -Air Conditioning Plan
Fuel Gas Oil Electric Solar Solid
System Q New 1 D Replace Other
J Forced Air J Radiant U Steam u A/C u Vent
1 Electric 1 Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimney B 0 Direct Vent 0 Not Applicable
Heat Loss As Approved 0 Existing Not Applicable Value
BTU Rate C) As Per Plan 0) Variable 0 Other Value 2 ton
Use /Nature SFR/ Install new A/C. "Werner took out electric permit 8 -02 -01
of Work
Fees: Valuation $1,441.78 Plan Approval $0.00 Permit Fee Paid $27.50
Issued By: 4ZI'V\ Date 10/18/2001
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 924 OHIO STREET OSHKOSH WI 54902 0 Telephone Number 236 -8770, MOBILE 7
08/01/2001 05:03 9202360150 TENTHSTREETSTATION PAGE 03
Division of Inspection Services
23S Church Avenue
P -O. box 1130
Oshkosh. WI S4903 -1130
ww Fax i (920) 236 -5064
Phone (920) 236 5048
hi
HVAC PERMIT APPLICATION
All fields /information after bold categories must be provided.
Incomplete applications will not be processed.
r DATE 6 /J�° 1
JOB ADDRESS 56 3' .;5
fff
OWNER td. J !eI'i
coNTRAcToR_1044-51114/-701Ar4 f Irk,
CIRCLE ALL APPLICABLE F
USE CATEGORY 3:LNGLE FAMILY DUPLEX MULTI- FAMILY COMMERCIAL INDUSTRIAL
FUEL GAS OIL �..ft,, SOLAR SOLID
aYSTEM REPLACE
OTHER
PYPE FORCED AIR RADIANT STEAM VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
:s CHIMNEY BEING LINED #44 LINER SIZE MANUFACTURER
rote: All Chimneys shall be sized per the BTU's being vented.
:HIMNEY TYPE N /i¢- CHIMNEY A
CHIMNEY B DIREST VENT DTI -tE;i:
!EAT LOSS AS APPROVED EXISTING NOT APPLICART•>
TU RATE AS PL-'F; PLAN VARIABLE OTHh VALUE Z- 4064/
ATURE OF WORK! /^s f /0 "a 2
ALUE (Including labor and materials) l'ft?/ 7$ lie.. 4* 75v
LECTRICAL CONTRACTO:. L UQAALA chp-
lectrical installation of new /replacement equipment shall be done by licensed
3ntzactors.
3luation
Fees
co $1,000.00
$20.00
1,000.01 to $10,000.0)
$20.00 for first.
$1,000.00 plus $1.S0 per 5100.00 valuation'or par': 'J.reof-
.0,000.01 to $25,000.00
5155.00 for :'i=s
510,000,00 plus 51.00 p 5100.00 valuation or part ch±cof
•er $25,000,
$305.00 plus 50.50
per 5100.00 valuation or part. ti:•eruof
Submit payment with application. Failure to p a w ithin 30
fees being doubled or $100.00 plus the normal, Y hach will Ies in greater. permit fee, which ever ;.5