HomeMy WebLinkAbout0087244-HVAC (furnace) 0 CITY OF OSHKOSH No 87244
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3763 GLENHURST LN Owner MARION SCHULTZ Create Date 07/03/2001
Contractor MOBILE HOME STUFF STORE, INC. Category 500 - Residential- Heating & Ventilating Plan
Fuel 111 Gas 1 I Oil I Electric I Solar 1 Solid
System New 0 Replace ❑ Other
U Forced Air u Radiant U Steam j NC u Vent
1 1 Electric 1 Hot Water Suppi. Con. Bumer
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss ` ) As Approved 0 Existing 0 Not Applicable Value
BTU Rate . ) As Per Plan Variable • Other Value 70,000
Use /Nature SFR / MOBILE HOME / REPLACE FURNACE
of Work
Fees: Valuation $1,199.00 Plan Approval $0.00 Permit Fee Paid $23.00
Issued By: SinS Date 07/03/2001
❑ Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address N6446 ROLLING MEADOWS DR FOND DU LAC WI 54937 - 0 Telephone Number (920) 923 -0098
Jun 22 01 12:Q7p Code Enforcement 920-236-5084 p.1
0 •
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
0
Oshkosh, WI 54903-1130
Fax (920) 236 - 5084 •
Phone (920) 236 -5048
HVAC FERMI
APPLIC ATION
All fields /information after bold categories must be provided.
processed.
Incomplete applications will not be P
ATE 1 O
D
(of l 1
JOB ADDRESS 31113 T -- 0(
owNER (—/1 /,.1,•Lfll) ,6.0.-46 LA )P )124
.
CONTRACTOR All _ I :. •Li ,/1 f-l-r)
CIRCLE ALL APPLICABLE
USE CATEGOR I' L r ~':f . DUPLEX MULTI - FAMILY COMMERCIAL INDUSTRIAL
FURL CW
AirAmii OIL ELECTRIC SOLAR SOLID
SYSTEM � � rm REPLACE OTHER
PE ��Wn FORCED AIR RADIANT STEAM A/C VENT
u
•
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BEING LINED LINER SIZE MANUFACTURER
Note: All chimneys shall be sized per the nTU's being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY B DIRECT VENT / J OTHER
HEAT LOSS AS APPROVED EXISTING NOT APPLICABLE
BTU RATE AS PER PLAN VARIABLE OTHER VALUE
NATURE OF WORK: -} o Co e ,---, lit r iQ
--to i e p (ct c.v._ iC ,
VALUE (Including labor and matter]. � r]. 1 a)) $ /� +oz
ELECTRICAL CONTRACTOR DC ( ri C. c +i ) c, _id ) 0
1
Electrical installation of new /replacement equipment shall be done b y licensed
contractors.
Valuation Fees
$o to S1,000 00 $20.00 4f.3
$1,000.01 to $10,000 _ 00.» .. »........._. »..... .__..__ _.........__ _ : . _ ».. »..»....$2.0.00 for part first
$1,0D0.00 plus $1.50 50 per $100.00 valuation or art thereof
$10,000.01 to $25, 000 .00__•...... ».»._... . .. ». ... ........._.. »___. ». ».... »_ .. $155.00 for first
$10,000.00 plus $1.00 per $100.00 valuation or past 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 d oubled or $100.00 plus the normal permit fee, which ever is
greater.
A a i /lied �.� kr ���
¥ ale- al react P�
safe /0 c6 wry )`
06/22/01 11:17 TX /RX NO.7925 P.001
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