HomeMy WebLinkAbout0087165-HVAC (a/c) 10 CITY OF OSHKOSH No 87165
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 835 POWERS ST Owner DANIEL J & AMY WARA Create Date 07/02/2001
Contractor CONDON TOTAL COMFORT Category 501 - Residential -Air Conditioning Plan
Fuel 1 Gas 1 Oil 1 1 Electric Solar 1 Solid
System 0 New I ❑ Replace 1 ❑ Other
Li Forced Air U Radiant u Steam J NC u Vent
1 Electric Hot Water Suppl. Con. Burner
Chimney Type ) Chimney A () Chimney B () Direct Vent • Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value
BTU Rate K ) As Per Plan () Variable 0 Other Value
Use /Nature SFR / INSTALL LENNOX 2 -1/2 TON A/C SYSTEM
of Work
Fees: Valuation $1,550.00 Plan Approval $0.00 Permit Fee Paid $29.00
Issued By: Sm S Date 07/02/2001
❑ 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 11 BLACKBURN ST RIPON WI 54971 -0 Telephone Number (920) 748 -3186
•
Division of Inepectios Services
211 Church Avenue
F.O. lox 1130
411:WA: F a x • (120) =IX"
"
Phone (920) 211 -5040
HVAC PERMIT APPLICATION
All fields /information after bold categories must be provided.
Incomplete applications will not be processed.
DATE (a? ..2//
JOB ADDRESS
OWNER ZO c.P . (i9 ov
CONTRACTOR (rte c x 1 , X4 •
CIRCLE ALL APP
USE CATEGOR SINGLE FAMILY DUPLEX MULTI - FAMILY COMMERCIAL INDUSTRIAL
FUEL GAS OIL ELECTRIC SOLAR SOLID
SYSTEM NEW REPLACE OTHER
TYPE FORCED AIR RADIANT STEAM A/C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BEING LINED — LINER SIZE MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY B DIRECT VENT
OTHER .
HEAT LOSS APPROVED EXISTING NOT APPLICABLE
BTU RATE ' --AS PER PLAN VARIABLE - OTHER VALUE •
NATURE OF WORK: / /
VALUE (Including labor and materials) $ /STS7? -
ELECTRICAL CONTRACTOR,,
Electrical installation of new /replacement equipment shall be done by licensed
contractors.
Valuation
Fees
$0 to $1,000.00
$1,000.01 to $10,000.00 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. valuation or part thereof
Over $25,000.00 ........ . _ . .......................... .... $305.0o 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.