HomeMy WebLinkAbout087428 - HVAC (new AC) CI CITY OF OSHKOSH No 87428
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1813 MOUNT VERNON ST Owner JANINE R MUTZ Create Date 04/25/2001
Contractor CONDON TOTAL COMFORT Category 501 -Residential-Air Conditioning Plan
Fuel 1 Gas 1 Oil LJ Electric 1 Solar 1 Solid
System 0 New Replace ❑ Other
_J Forced Air j Radiant J Steam j A/C _I Vent
Electric Li Hot Water Suppl. j Con.Burner
Chimney Type 0 Chimney A O Chimney B O Direct Vent 0 Not Applicable
Heat Loss 0 As Approved 0 Existing 0 Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable 0 Other Value
Use/Nature SFR/INSTALL NEW 1-1/2 TON NC SYSTEM
of Work
Fees: Valuation $1,410.00 Plan Approval $0.00 Permit Fee Paid $27.50
�3��i i C
Issued By: `®-A I '-a Date 07/10/2001
❑ 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 11 BLACKBURN ST RIPON WI 54971 -0 Telephone Number (920)748-3186
(FJ;)
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
F a 236 0508430
Fax x ## ((920)0) 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 T7t//
JOB ADDRESS /J/9 )14X P(P--'L,,,r)�
OWNER A fat.
CONTRACTOR S le.../2. 'r. .P , al .
CIRCLE ALL APPLICABLE A
USE CATEGORY (SINGLE FAMILY DUPLEX MULTI-FAMILY COMMERCIAL INDUSTRIAL
FUEL - •GAS OIL ELECTRIC SOLAR SOLID
SYSTEM , NEW ) REPLACE OTHER
TYPE FORCED AIR RADIANT STEAM A/C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
CIS 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
NATURE OF WORK: a / /c_//c2,i
VALUE (Including labor and materials) $ //WV. —
ELECTRICAL CONTRACTOR �C --,. -,-, _
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation Fees
$0 to $1, 000 .00......................._...._._......._...._......._......._._.............................._................_..............$20 .00
$1, 000 .01 to $1 0, 0 0 0 0 0 $2 0 .0 0 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.