HomeMy WebLinkAbout2003-HVACOSHKOSH
ON THE WATER
.lob Address 491 S WASHBURN ST
Contractor CENTRAL HEATING SERVICE INC
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner 491 S WASHBURN ST LLC
Category 512- Ind. & Comm-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss IO As Approved ~ Existing
BTU Rate IO As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
100892
04/21/2003
Other J
Vent J
Use/Nature Cumulus Media
of Work
Fees: Valuation
Issued By:
$81,200.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$586.00
Date 04/21/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1565 HARRISON STREET OSHKOSH WI 54901 -0
Telephone Number
(920) 235-6670
~ ~ Division of Inspection Services
215 Church Avenue
P.O. Box 1130
O~_~O/H Oshkosh, WI 54903-1130
Fax # (920) 236-5084
Phone (920) 236-5048
}{VAC PERMIT APPLICATION
Ail fields/information after bold categories must be pr~v~i~.
Incomplete applications will not be process~.~R~M~.4T~
CIRCLE ALL APPLICABLE
USE CATEGORY
FUEL ~
SYSTEM
TYPE
ELECTRIC
SINGLE FAMILY DUPLEX
OIL ELECTRIC
REPLACE
RADIANT
HOT WATER
MULTI-FAMILY ~
SOLAR SOLID
INDUSTRIAL
OTHER
STEAM ~__~ VENT
SUPPL. CON. BURNER
IS CHIMNEY BEING LINED LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY B
HEAT LOSS ~ROV~D~ EXISTING
BTU RATE ~ VA/{IABLE
NATURE OF WORK:
MANUFACTURER
DIRECT VENT
NOT APPLICABLE
OTHER VALUE
OTHER
VALUE (Including labor and materials) $ ~/,-'~ ~O, ~ 0 ~-~b~-~'-,
ELECTRICAL CORVfRACTOR
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation Fees
$0 to $1,000.00 ....................................................................................................................................... $20.00
$!,000.01 to $10,000.00 ............................................................................................................... $20.00 for first
$!,000.00 plus $1.50 per $100.00 valuation or part~ thereof
$10,000.0! to $25,000.00 ............................................................................................................ $155.00 for first
$i0,000.00 plus $!.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 within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.