HomeMy WebLinkAbout0086611-HVAC (a/c) CD CITY OF OSHKOSH No 86611
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3763 GLENHURST LN Owner MARION SCHULTZ Create Date 06/08/2001
Contractor MOBILE HOME STUFF STORE, INC. Category 501 - Residential -Air Conditioning Plan
Fuel 11 Gas 1 I Oil 1 I Electric I Solar I Solid
System 0 New n Replace 0 Other
1_1 Forced Air u Radiant u Steam u NC u Vent
Electric Hot Water Suppl. I Con. Burner
Chimney Type J Chimney A 0 Chimney B 0 Direct Vent 0 Not Applicable
Heat Loss j As Approved n Existing (;) Not Applicable Value
BTU Rate K) As Per Plan 0 Variable 0 ) Other Value
Use /Nature SFR / MOBILE HOME / INSTALL CENTRAL AIR
of Work
Fees: Valuation $1,599.00 Plan Approval $0.00 Permit Fee Paid $29.00
Issued By: Sins Date 06/08/2001
10 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 N6446 ROLLING MEADOWS DR FOND DU LAC WI 54937 -0 Telephone Number (920) 923 -0098
May 31 01 12:O1p Code Enforcement 820- 236-5084 p.1
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903 -1130
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.
DATE v' /4 /0 /
JOB ADDRESS 2 9 (Q 3 1
OWNER m ,L.O� ] i z
CONTRACTOR b, H _ Si/A /*
V
CIRCLE ALL APPLI ..=
mobil-e, hwer9 - -?
USE CATEGORY, SINGLE FAMILY ?DUPLEX MULTI- FAMILY COMMERCIAL INDUSTRIAL
FUEL • ELECTRIC SOLAR SOLID
SYSTEM NEW // REPLACE OTHER
TYPE FORCED AIR RADIANT STEAM 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 AS APPROVED EXISTING NOT APPLICABLE
BTU RATE AS PER PLAN VARI LE OTHER VALUE
NATURE OF WORK: ‘2=71-1\-13 ` - C LAA,
VALUE (Including labor and mat rials) $ 1 6 1
ELECTRICAL CONTRACTOR nC (' c-d-iutc)-LIA t3 /
Electrical installation of new /replacement equipment shall be done by licensed
contractors. 414 Valuation Fees
$ 0 to $1, 000 .0 0......»_ ...................................._........................»_................»»»... ..............._......—.-....$20 .00
$1,000.01 to $10, 000 . 00.--.---... ...._..._ ........$20.00 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 $100.00 valuation or part thereof
Over$25, 0 0 0 .0 0._.._.. w__...._._._......._._.._........___...._._._ .................. ......»........_..- ..---- ....—.$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 doubled or $100.00 plus the normal permit fee, which ever is
greater.
05/31/01 11:10 TX /RX NO.7406 P.001