HomeMy WebLinkAbout0095805-HVAC 0 CITY OF OSHKOSH No 95805
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2341 SHORE PRESERVE DR Owner LADISH HOMES Create Date 06/21/2002
Contractor BREWER HEATING Category 502 - Residential -Both Plan
Fuel ,✓ Gas I Oil I Electric Solar I 1 Solid
System n New I 0 Replace I ❑ Other
LJ Forced Air Li Radiant Li Steam J A/C Li Vent
J Electric I Hot Water 1 1 Suppl. Con. Bumer
Chimney Type 10 Chimney A () Chimney B • Direct Vent 0 Not Applicable
Heat Loss ) As Approved 0 Existing 0 Not Applicable Value 0
BTU Rate ; ) As Per Plan () Variable • Other I Value
Use /Nature NSFR/ Install HVAC system.
of Work
Fees: Valuation $6,400.00 Plan Approval $0.00 Permit Fee Paid $101.00
Issued By: Kw' Date 07/12/2002
El Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address N8804 N DOUGLAS STREET RIPON WI 54971 -0 Telephone Number (920)748 -6494
J9x,r:r (020) 2:•;!, {,n„
J3 AP.P.LICATION
j:i(:.101; /:;1'13 CJ7mai jL, 1 bfl e L</M mi);;1_
C :1 f; 1,;' .1
DATE 740•
;JOE :ADDRESS Q3 41 suoR E. PR £SEMJE 02,
CONTRACTOR EfiEwE NEffiitG ►ti
USE CAi''EGURY S : LL F; - Y , r_l i'' > __ ;
FUET, 0 L T'?_,EC ±"_.I C SOLAR SOLID
SYSTEM RE: �7 Z `E ER
_ �. G � �. i >•.
TYPE _ "ORC I RAD 3 717,T?' STEAM <: =2 \T :NT
ELECTRIC HOT WATER SUPPE CON_ BURNER
IS CHI1✓.,3dEY BEING LINED LINER SIZE MANTUFAC T URER
Note: All chimneys shall be sized ner the E T U' s being vented.
CHIMNEY TYPE C - fl 1\TEY A CHIMNEY E C DIREe — - OTHER
HEAT LOSS AS APPROVED EXISTING NOT APPL KEEL ✓:
C: � --
ETU RATE AS ?E Y i 7 R I - -- - - - -
NAM OF WORK:
VA1Y E (Including labor and materials) $ 20 40 O
ELECTRICAL CONTRACTOR
Electrical installation of new /replacement equipment shall be done by licensed
contractors.
Valuation
Fees
$0 to $1,000.00 fi20. 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 $25,000.00
$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.