HomeMy WebLinkAbout0084081-HVAC C CITY OF OSHKOSH N 84081
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2017 SHERIDAN ST Owner FLOYD M PROCTOR Create Date 10/12/2000
Contractor TENTH STREET STATION INC Category 500 - Residential- Heating & Ventilating Plan
Fuel I ✓1 Gas 011 Electric Solar Solid
System ✓ New Replace Other
VI Forced Air Radiant Steam A/C I Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type = ) Chimney A ( ) Chimney B • Direct Vent O Not Applicable
Heat Loss \) As Approved 0 Existing O Not Applicable Value
BTU Rate ) As Per Plan ( ) Variable • Other Value 75,000
Use /Nature SFR / REPLACE SPACE HEATERS WI (H 90+ DIRECT VENTAND DUCT SYSTEM
of Work
Fees: Valuation $3,756.36 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: 3 Date 02/06/2001
J 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
ED Division of Inspection Services
215 Church Avenue
P.O. Box 1130
0.IHKO1H Oshkosh, W 5 4903 -1130
ON THE WATER Fax # (920) 236 -5084
Phone (920) 236 -5048
HVAC PERMIT APPLICATION
All fields /information after bold categories must be provided.
Incomplete applications will not be processed. DATE OA i
JOB ADDRESS 2 0 1 S H7.-- b ii--Al
OWNER Jt7F 0q9-(4.567A/
CONTRACTOR Wit 57/26- 574 Z IN' • .
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMI DUPLEX MULTI - FAMILY COMMERCIAL INDUSTRIAL
FUEL OIL ELECTRIC SOLAR SOLID
SYSTEM EW REPLACE OTHER
TYPE F ORCED AIR RADIANT STEAM A/C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BEING LINED 440. LINER SIZE MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.'
CHIMNEY TYPE CHIMNEY A CHIMNEY B CIRECT VENT OTHER
HEAT LOSS AS APPROVED XISTING NOT APPLICABLE
BTU RATE AS PER PLAN VARIABLE OTHER VALUE 7,
NATURE OF WORK: /,�2ee_ `! 5 4 4 / tS G✓I1Gt �V t-- e di r,P- �u av, e/ dPiv'- s p�t'-s'»
®® `l -' 42 06
VALUE (Including labor and materials) $3 756- 36
/1�� Aid" 60 —
t ��J,3) e -SJ �„
ELECTRICAL CONTRACTOR ��r,Q ,6� � G /
Electrical installation of ne / eplacement equipment 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 $25,000.00 $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.