HomeMy WebLinkAbout0090651-HVAC (a/c) C) CITY OF OSHKOSH No 90651
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1732 MINNESOTA ST Owner ILOMAY A BEISER Create Date 09/12/2001
Contractor TENTH STREET STATION INC Category 501 - Residential -Air Conditioning Plan
Fuel Gas Oil 11 Electric Solar 1 Solid
System JNew [ Replace 1 ❑ Other
Li Forced Air u Radiant U Steam j NC _f Vent
Electric Hot Water 1 1 Suppl. 1 1 Con. Burner
Chimney Type ' Chimney A Chimney B Direct Vent Not Applicable 7
Heat Loss J As Approved • Existing 0 Not Applicable Value
BTU Rate ( ) As Per Plan 0 ) Variable 0 Other Value 2 ton
Use /Nature SFR/ Replace existing NC. *EIV form from Drexler Electric.
of Work
Fees: Valuation $1,600.00 Plan Approval $0.00 Permit Fee Paid $29.00
Issued By: KW\ Date 10/18/2001
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 924 OHIO STREET OSHKOSH WI 54902 -0 Telephone Number 236 -8770, MOBILE 7
09/04/2001 20:30 9202360150 TENTHSTREETSTATION PAGE 01
ED Division of Inspection Services .
P.O. i Cho Avenue "' 1EO
•
P.O Box I7
ft
Oohkosh.'NI 490I -1130 m
ram S
Ul laTE
M 15701 736 -O
?
Phoo ne MO! 214-Some
•
HVAC PERMIT APPLICATION
All fields /information after bold categories must be provided.
Incomplete applications will not be processed.
•
DATE 94Joi
JOB ADDRESS Z • /
OWNER j L O M 11. 4 [ " - •
CO_NTRACTOti -� 414 s
F - kt.
• CIRCLE ALL APPLICABLE
USE CATEGOR`_' NGLE FAMIL� DUPLEX MULTI- FAMILY COMMERCIAL INDUSTRIAL
PULL GAS OIL <7:,:7-...., SOLAR SOLID
• SYSTEM NEWS • OTHER
TYPE FORCED AIR RADIANT STEAM
VENT
• ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BEING LINED pp LINER SIZE
Note: All chimneys shall be sized per the BTUs being vented: MANUFACTUREn_,
N
CHTMNEY TYPE • CHIMNEY A CHIMNEY H DLRECT'VE - OTHER `
HEAT LOSS AS APPROVED EXISTING NOT AFPLICAPt.F._
•
BTU RATE AS PER PLAN V LE OTHE:d VALUE 2 Tito/
NATURE OF WORX : t _ e4/04t, *e!
VALUE•(Including labor and materials) $ /4.00).•0 ", ,
ELECTRICAL CONTRACTOR► G ?e�r
'Electrical installation of new/ eplacement ment a ui shall be done by licensed
valuation
Fees
0 to $1;000.00...,.. . :.. ......... --
.......................... . -.S .00 .
31, 000.01 "to $10,000.00 ...... _
$1,000.00 ..- •- .•-.., .................... ........................... -•• •••520.00 for first
plus $1.50 per $100.00 valuation or par_ tt.ereo €:
:10,000.01 to S25,000.00
S155.00 for _firs;
510,000.00 plus 51.00 per $100.00 valuation or part th�:eof
Kier $2S,000.00
5305.00 plus S0.50
per .5100.00 valuations or part thareof
Submit payment with application. Failure to pay within 30 days will resu.. ;: in
• fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
SEP - 20 -2001 06:47 AM
P. 01
CM of Oshkosh
Division of Inspcchoe Semen
215 Church Avenue
FO Bon 1130
Qshkwh WI S4902-)130
tws MM►!n Office 9 20. =)6!010
Fax 9 2 0 .236 -1014
Electric Installation Verification Eo
(I) (We) O2 iF , Lira—
(Electrical Contractor Name)
4- 61 D c,4 d Pic Pi ‘,..4..
(Address)
(City) !Air' 4q (,
y) (State) (Zip Code)
have been contracted to perform electric installation work for ni Km 4 S? 2 .C.trr (..(
(Name of party con tracte d to)
at the following address: ? 3
(Address where work will be performed)
The nature of the work consists of : (Check One or Describe the Nature of Work)
`er Reconnection or new circuit for replacement Heating Plant and /or A/C Condenser,
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cable,
lighting fixtures due to siding / soffit instal a ion. Notc: New Service Entrance
and
Cables will require a separate permit.
Reconnection or new circuit for other permanently wired appliances / fixtures.
Other
The value of this work is S D. 0
I hereby verify this work will be performed by an employee of this company and further verify the
reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
V c �,u4 1
(Signature of Company -
8-1-iidt- I W "` . 9-
p y Officer) (Pont Name of Officer) t f
(Date)