HomeMy WebLinkAbout0082860-HVAC (a/c) IED CITY OF OSHKOSH No 0082860
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1940 MINNESOTA ST Owner NANCY P MARTINEZ Create Date 10/05/2000
Contractor RASMUSSEN'S HEATING & NC INC Category 501 - Residential -Air Conditioning Plan
Fuel Gas Oil Electric I Solar Solid
System ✓ New Replace Other
Forced Air .O Radiant OI Steam ✓ NC Vent
Electric Hot Water 1 Suppl. I Con. Burner
Chimney Type ) Chimney A () Chimney B O Direct Vent O Not Applicable
Heat Loss ) As Approved ( ) Existing O Not Applicable Value
BTU Rate ' ) As Per Plan O Variable O Other Value
Use /Nature SFR / INS IALL NEW 2 ION A/C:
of Work (No electric permit required- received installation verification signed by Hoehne Electric)
Fees: Valuation $1,430.00 Plan Approval $0.00 Permit Fee Paid $27.50
Issued By: SYY\ 5 Date 11/10/2000
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 1915 KNAPP STREET OSHKOSH WI 54902 - 6612 Telephone Number (920) 235 -6569
3 -13 -1996 1:28PM FROM RASMUSSEN'S HVAC IN 920 235 3642 P.5
Division of znapeccion Services
215 Church Avenue
P .O. Box 1110
47/i� v Oshkosh. WI Sa903 -1130
����' Fsx # (920) 236 -508a
"� W Phone (920) 235.5o411
HVAC. PRRMTT. APPLICATION
All fields /information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 1 `
JOB ADDRESS t W */ I�
N
OWNER �-^C (! A. 4..i C 4 '� (( .�G,
A"k `t ■.1•e 'Z.. (�
CONTRACTOR ; yy. 5 k.. '.- .,5' 4-k `/ Y'* CI \.�Jrt,: , (,--.
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMI DUPLEX MULTI FAMILY" COMMERCIAL INDUSTKIAr'
FUEL GAS OIL ELECTRIC SOLAR SOLID
SYSTEM +...�/ REPLACE OTHER
TYPE FORCED AIR RADIANT STEAM (-A ? VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BEING LINED LINER_. SIZE. MANUFACTURER
Note: All chimneys shall be sized per the BTUs being vented.
CHIMNEY TYPE CHIMNEY A C}IMNEf B- DIRECT VENT OTHER
HEAT LOSS AS APPROVED EXISTING NOT APPLICABLE
BTU RATE AS PER PLAN VARIABLE OTHER VALUE
NATURE OF WORE: p_, J's L L -►
K.
VALUE (Including labor and materials) $ ( '
ELECTRICAL CONTRACTOR _
Electrical installation of newlreplacement.. equipment..shali: bee. done. by licensed
contractors.
Valuation F
$ 0 to $1, 0 0 0.0 0 ... ....... »... ».„ ..»..». ».,.». $20.00
$1,000.01 to $10,000.00---- $20.00 for first
$1,000.00T plus $1 per $100.00 valuation or part thereof
$10,000.01 to $ 2 S , 0 00.0 0.. »..,.... »».._......, ......».....„„. _..»...»„... ...... -$155.00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thereon
Over $25,000 .00.»..»_. ».._.... „. -- »_..»».. » ».„...» ...»,. »...... _ .$305.00 plus $0.50
per $100.00 valuation or part thereof
•
• Submit payment with application. Failure co pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater_
3 -13 -1996 1 : 28PM FROM RASMUSSEN . S HVAC I N 920 235 3642 P. 6
City of Oshkosh
Division or IesPectioe Sewices
215 Church Avenue
PO Boa 1130
Oshkosh WI 51102.1130
OJfl <OJH Dike 9204365050
Ow n{
wage fu 9204365041
Electric Installation Verification
(I) (We) A/a6h/ 7 / CIE
�
(EleetrieaI Contractor Name)
&d/ 4ti _32.Lit3
(Address) (City) (State) (Zip Code
have been contracted to perform _electric.installatinn_work /WRNS ANu1/4.-5!s PU F4� (Name of of party contracted to)
at the following address: !.SlJ k 57 c', f
( Address_ where- work_wilLbe performed).
The nature of the work consists of : (Check One or Describe the Nature of Work)
4✓ Reconnection or .ncw_ circuit . for_ rptatpment Heating Plant an,ri /or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection _of_the_Setvice_Fntranc4 Meter Rnx,.altecations to receptacles and
lighting fixtures due to siding / soffit installation. Note: New Service Entrance
Cables wilLrrglfire a Sqlarate permit_
Reconnectio or ew circuit for other permanently wired appliances / fixtures.
Other C_
The value of this work is $
I hereby verify this work will -be performedby an .employee -of this company .and further verify the
reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
de ..r-A. 111 l C CriCr /4VA-fie 1- 94-do Ns
ature • f Company Officer) 1r
P Y ) (Print Name of Officer) (Date)