HomeMy WebLinkAbout2001-HVAC (furnace) (2) •
CITY OF OSHKOSH No 90553
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 250 N SAWYER ST Owner CITIZENSFIRST CREDIT UNION Create Date 10/16/2001
Contractor GARTMAN MECHANICAL SERVICES Category 510 - Ind. & Comm - Heating & Ventilating Plan
Fuel ✓ Gas Oil 1 1 Electric Solar I I Solid
System ❑ New 0 Replace I — 1 Other
✓J Forced Air j Radiant Steam _I NC _I Vent 1
Electric Hot Water Suppl. I Con. Burner
Chimney Type J Chimney A 0 ) Chimney B 0 Direct Vent 0 Not Applicable
Heat Loss c , ) As Approved 0 Existing 0 Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable 0 Other Value
Use /Nature COMM/ Citizen's First/ Replace furnace.
of Work
Fees: Valuation $2,380.00 Plan Approval $0.00 Permit Fee Paid $41.00
Issued By: K I'\ Date 10/16/2001
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 520 W SO PARK AVE PO BOX 2264 OSHKOSH WI 54903 - 2264 Telephone Number (920) 231 -5530
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Division of Inspection 8erv$aem
215 Church Avenue
P.O. Box 1130 ,
_ Oshkosh, WI 54903 -1130
h�f w R Fax M (920) 236 -5084 ,
Phone (920) 236 -5048
. HVAC PR P= ■
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All fields /information af bold aategcrtea'p et hA 14916004,
Incomplete applications will not be mowed, ,
• - ,ATE 1.611 310 i ,
JOB ADDRESS 1l U (ji.. -
OWNER a. () M. AL4 ;•
CONTRACTOR
CIRCLE ALL APPLICABLE
USE CATEGOR SINGLE FAMILY DUPLEX MULTI RRGIINDUSTRIAL ,
4
FUEL OIL ELECTRIC SOLAR 801 ;D �'
SYSTEM REPLACE • OTHER
TYPE FORCED AI
RADIANT STEAM A/C VENT ii •
ELECTRIC !IOT WATER SUPPIt, CON, BURNER
IS CHIMNEY BEING LINED LINER SIZE MANUFACTURER ,
Note: All chimneys shall be sized per the BTU'u being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY 8 DIRECT VENT , OTHER
HEAT LOSS AS APPROVED EXISTING NOT APPhICAAIB
BTU RATE AS PER PLAN VARIABLE OTHER VALUE
r
ATURE OF WORK;
nn nn
VALUE (Includ g labor nd materials) c�1 �Ca.CX�
♦•
ELECTRICAL CONTRACTOR 4Y1
Electrical installation of new /replacem t equipment shall be done by licensed
contractors.
•
Valuation Fees . +
•$0 to $1,000.00 ........... .:..................................... .. ......... .». ..... ---------- .......... -----.$20,00 • ��
$1,000.01 to $10,000.00” .................... ----- ... .; »•.. ». ». ».- 1.. ».... ». ». ». »....... :$,� 0,00 for • f ire t
$1,000.00 plus • $1.50 • per $100.00 valuation or pert • thereof t k:':
$10,000.01 to $25,000.00 .................----- .............................. ----- ...... --------.44155,00 for 'fire t
$10,000.00 plus $1.00 per $100.00 valuation or part • .Cbereof 4,
Over $25,000 00 ......... » . ». ». »....»..$305.00 plua 80.50 .
per $100.00 valuation or part theropt 'g`'
'�
• submit payment with application. Failure to pay within 30 days will reault in r, " q
fees being doubled or $100
plus the normal permit tee, which ever,is
greater. - , ,