HomeMy WebLinkAbout094414 - HVAC (AC ) ED CITY OF OSHKOSH No 94414
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1615 MOUNT VERNON ST Owner ARVID M CARRICK Create Date 05/14/2002
Contractor AIR TECH HEATING INC Category 501 -Residential-Air Conditioning Plan
Fuel 11 Gas Oil Electric Solar Solid
System U New ❑ Replace ❑ Other
Forced Air 1 Radiant L! Steam J NC _1 Vent
1 Electric j i Hot Water Suppl. Con. Burner
Chimney Type J Chimney A O Chimney B ❑ Direct Vent • Not Applicable
Heat Loss As Approved O Existing • Not Applicable Value 0
BTU Rate 0 As Per Plan O Variable • Other Value 24m/2 ton
Use/Nature SFR/Installation of a/c with air handler.
of Work
Fees: Valuation $3,700.00 Plan Approval $0.00 Permit Fee Paid $60.50
Issued By: V-m Date 05/16/2002
❑ 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 1305 A INDUSTRIAL PARKWAY FOND DU LAC WI 54937 -2208 Telephone Number (920)924-6742
e5;;)
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
MIEDEOhx k oh9 2WI 52496 130
ON THE WATER
Phone (920) 236-5048
HVAC PERMIT APPLICATION
All fields/information after bold categories must be provided.
Incomplete applications will not be processed.
DATE . -1 q-C7a
JOB ADDRESS /!p/5 /Y)I. VEt?NOAi
OWNER ?U.O Ci)22)C1(-
CONTRACTOR H i2 -TECH- MEAT-1106 iA) e
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMY` DUPLEX MULTI-FAMILY COMMERCIAL INDUSTRIAL
FUEL GA3 OIL ELECTRIC SOLAR SOLID
SYSTEM 411:21' 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 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 VARIABLE OTHER VALUE eA 4-, 00O (LA T 0 ))
NATURE OF WORK: /Ak5TA LLATIO#J OF Rift COMD/T/OME/L WITH 12112 I4AAi()LEA_
VALUE (Including labor and materials) $ 3 )00 ' 00
ELECTRICAL CONTRACTOR
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
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, 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.