HomeMy WebLinkAbout083734 - HVAC (furnace) : CITY OF OSHKOSH No 83734
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1833 MT VERNON ST Owner SANDRA S DREXLER Create Date 12/04/2000
Contractor RASMUSSEN'S HEATING&A/C INC Category 502-Residential-Both Plan
Fuel I✓', Gas Oil Electric Solar Solid
System r New i Replace !— Other
✓' Forced Air Radiant Steam ✓I A/C Vent
Electric Hot Water 1 ' Suppl. I Con. Burner
Chimney Type ( ) Chimney A ( ) Chimney B • Direct Vent ( i Not Applicable I
Heat Loss ( ;, As Approved • Existing ( ', Not Applicable Value
BTU Rate ( . As Per Plan Variable • Other Value 60,000
Use/Nature SFR/REPLACE FURNACE AND 1-1/2 ION A/C
of Work (No electric permit require-received installation verification signed by Hoehne Electric)
1
Fees: Valuation $3,947.00 Plan Approval $0.00 Permit Fee Paid $65.00
Issued By: +�� Date 01/18/2001
—Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1915 KNAPP STREET OSHKOSH WI 54902 -6612 Telephone Number (920)235-6569
0 Division of inspscrion Services
215 Church Avenue
P.O Box 1130
Oshkosh, WI 54903-1130
Fax # (920) 236-5084
Phone (920) 236-5048
liVAC PERNIT APPLICATION
All fields/information after bold categories must be provided.
Incomplete applications will not be processed.
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'IRCLB ALL APPLICABLI
-35E CATEGORY SINGLE 'ANITI//, 'DUPLEX MULTI-,FAMILY COMMERCIAL INDUSTRIAL
IJ$L —+ OIL _ELECTRIC SOLAR SOLID
;YSTEM REPLA-C OTHER
' TYPE ORCED IF! RADIANT STEAM A/C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
:s CHIMNEY BEING LINVD1\ -e S LINER SIZE 3 " MANUFACTUREP‘"IN-∎ ,
rote: All chimneys shall be sized per the BTU's being vented.
'HII'TEY TYPE CHIMNEY A CHIMNEY B DIRECT VENT OTHER
, EAT LOSS AS A:?PROVED EXISTING NOT APPLICABLE
TTU RATE AS P.'.R PLAN --� - VARIABLES OTHER VALUE
ii►TURR OF WORK: (DC) --y3�� "t'^ `--,,,c'c
( 11
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"ALUE (Including labc:sr and materials) $ 3 `1,
:I.sCTRICAL CONTRACTOR R- N r
. lectrical installatiorc of new/replacement equipment shall be done by licensed
. cntractors.
"aluation Fees
11_.to.$1, 000..00_.- $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
1.0,000.01 to $25,000 00 $155.00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
1 ;ver $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.
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