HomeMy WebLinkAbout0089929-HVAC (a/c) 0 CITY OF OSHKOSH No 89929
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1936 MICHIGAN ST Owner MARY ANN BEARWALD ETAL Create Date 09/13/2001
Contractor STEINBRUNER HEATING & COOLING Category 501 - Residential -Air Conditioning Plan
Fuel Gas Oil ✓ Electric 1 Solar 1 Solid
System n New O Replace I ❑ Other 1
u Forced Air U Radiant �J Steam J A/C Li Vent
J Electric 1 Hot Water 1 Suppl. Con. Burner
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent O Not Applicable
Heat Loss ?, ) As Approved () Existing • Not Applicable 1 Value
BTU Rate ( ) As Per Plan () Variable O Other Value 2 ton
Use /Nature SFR/ Install new NC.
of Work
Fees: Valuation $1,441.78 Plan Approval $0.00 Permit Fee Paid $27.50
Issued By: Krn Date 10/02/2001
❑ Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 600 OREGON STREET OSHKOSH WI 54902 - 0 Telephone Number (920) 426 -1830
08/14/2001 20:38 9202360150 TENTHSTREETSTATION PAGE 04
1 el 2) lr
0
Cioa of Inspection Services
215 Chuth avenue Rnuc
P.O. Box 1130
Oshkosh, WI 54903 -1130 . .
Fax 8 (920) 236 -5089
Phone (920) 236 -SO49
HVAC PERMIT APPI,ICATION
. All fields /information after bold categories must be provided.
Incomplete applications will not be processed. iii , L'r1I..... (�
JOB ADDRESS /91C. A7//f f7l T 'J i C `Y
OWNER rwng...g0u, - - km eloALoaltd / 1
CONTRACTOR "]ITS Srgar s7rt7i0.1_ /4 ,
CIRCLE ALL APPLICABLE.
USE CATEGORY SINGLE FAMILY DUPLEX MULTI - FAMILY COMMERCIAL INDUSTRIAL
FUEL GAS OIL ��•� SOLAR SOLID
SYSTEM KITEW___2) REPLACE OTHER
TYPE FORCED AIRR RADIANT STEAM A/C VENT
. ELECTRIC HOT WATER SJPPL. CON. BURNER
IS CHIMNEY BEING LINED /✓p LINER SIZE MANUFACTURER
Note! All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE 4///4-' CHIMNEY A CHIMNEY B DIRECT ()THER
HEAT LOSS AS APPROVED EXISTING OT .2FPL?CART. °;
BTU RATE AS PER PLAN VARIABLE OTHER VALUE 2-__
NATURE OF WORK: /( , 2 ,I (C_ .
. 4 27. 5.0
VALUE (Including labor and materials) $ 01 (5
BLEC. RICAL CO :.; RACTOR Q W V Y L . C A 4 L. p-t r v ( L t hT Z `j 1 - 'jo - 1 I F \l vy, we v'C ,i f
:lectrical installation of new /replacement equipment shall be done by licensed G2t,
:ontractors.
Jaluation
Fees
•
;0 to $1,000.00 $20.00
:1,000.07, to $10,000.00 $20.00 for fist
S1,000.00 plus $1.50 per 5100.00 valuation'or part thereof.
10,000.01 CO 525,000.00 $155.00 for f •
$10,00o.00 plus $1.00 per $100.00 valuation or part thereof
ver S25,000 00
5305.00 plus $0.50
per 5100.00 valuation or part thereof
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or 5100.00 plus the normal permit fee, which ever is
greater.