HomeMy WebLinkAbout0088656-HVAC (a/c) CD/ CITY OF OSHKOSH No 88656
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 972 E SUNNYVIEW RD Owner LAKEVIEW MOBILE HOME PARK Create Date 08/23/2001
Contractor MOBILE HOME STUFF STORE, INC. Category 501 - Residential -Air Conditioning Plan
Fuel ✓ Gas 1 Oil 1 Electric Solar 1 1 Solid
System n New I n Replace I n Other
U Forced Air u Radiant u Steam u A/C u Vent
1 Electric 1 Hot Water 1 Suppl. 1 Con. Burner
Chimney Type ) Chimney A n Chimney B 0 Direct Vent O Not Applicable
Heat Loss ) As Approved ) Existing () Not Applicable Value
BTU Rate () As Per Plan 0 Variable 0 Other Value
Use /Nature MOBILE HOME /Replace NC at #56 for Jean Kroos
of Work
Fees: Valuation $2,412.00 Plan Approval $0.00 Permit Fee Paid $42.50
Issued By: r'"---' Date 08/23/2001
0 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 N6446 ROLLING MEADOWS DR FOND DU LAC WI 54937 - 0 Telephone Number (920) 923 -0098
May 08 01 08:51a Code Enforcement 820 236 -5084 P -1
• —U
® Division of Inspection Services
215 Church Avenue
P.O. Box 1130
5. 55 Oshkosh, WI 54903 -1130
6 a 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.
C DATE 1 0'27 ,
JOB ADDRESS 1 TO /, J u_ no y u 1 ei.- rQ-
OWNER J2(\ !roc)
CONTRACTOR
)
CIRCLE ALL APP -..: 'r
USE CATEer Y IN LE FAMILY DUPLEX MULTI- FAMILY COMMERCIAL INDUSTRIAL
FUEL CTRIC
GAS OI SOLAR SOLID
SYSTEM NEW REPLACE OTHER
TYPE FORCED AIR RADIANT STEAM A/C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
I8 CHIMNEY BEING LINED LINER SIZE MANUFACTURER
Note: All chimneys shall be sized per the BTUs being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY B DIRECT VENT OTHER
HEAT LOSS AS APPROVED EXISTING NOT APPLICABLE
BTU RATE AS PER PLAN VARIABLE OTHER VALUE
NATURE OF WORK:
VALUE (Including labor and materials) $ p k
ELECTRICAL CONTRACTOR � ,
DC_ installation of new/replacement equipment shall be done by licensed
Valuation
Fees a) . `7 ,,
..».»._..»__ .............._......... ....... »....... ».»._....... ». ». ..._..»..._..............$20.00
$1,000.01 to $10, 000.00.......»..... »._....»._.
$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
fees being doubled or $100.00 plus the normal permit h fee3 0 which ever i ssult in
greater.
05/08/01 08:01 TX /RX NO.6949 P.001
II