HomeMy WebLinkAbout0090044-HVAC f
" � CITY OF OSHKOSH No sooaa
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OSHKOSH HVAC PERMIT -APPLICATION AND RECORD s:
ON THE WATER
Job Address 3805 PARKVIEW CT Owner TIM MC BRAIR Create Date 04/19/2001
Contractor ANDRESEN SHEET METAL Category 502-Residential-Both Plan �
Fuel �Gas Oil Electric Solar � Solid
System ✓ New _� Replace [] Other j
✓ Forced Air Radiant Steam ✓ A/C Vent
Electric (— Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable `
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature SFR/New heating&cooling system with duct work. �
of Work
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Fees: Valuation $4,500.00 Plan Approval $0.00 Permit Fee Paid $72.50 s
issued By: �� Date 10/04/2001 .
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� Permit Voided f
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In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. �
Signature Date
AgenUOwner
Address 2913 WITZEL AVE OSHKOSH WI 54904 -6539 Telephone Number (920)233-0323
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� Division of inspection Services �y
� 215 Church Avenue �
P.O. Box 1130
1HK 1H Oshkosh, WI 54903-1130
Fax # (9z0) 236-5084
Oti 1HE wAIER
Phone (920) 236-5048
HVAC PERMIT APPLICATION
All fields/information after bold categories must be provided.
Incomplete applications will not be processed.
DATS � 'f� '' °25 ��
JOB ADDRESS �O u� ��%�-/�-//�� C..� �
OWNSR ,/ �G �
CONTRACTOR
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CIRCLE ALL APPLICABL$ . _
USFs CATEGORY SINGLE FAMIL DUPLEX MULTI-FAMILY COMMERCIAL INDUSTRIAL
�-r._—-
FIIEL �. OIL ELECTRIC SOLA.R SOLID
SYSTEM NEW. REPLACE OTHER
TYPE ORCED AIR�' RADIANT STEAM �7 VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BFsING LINED LINER SIZE MANiJFACTURER
Note: All chimneys shall be sized per the BTU' s being vented.
CHIMN$Y TYPE CHIMNEY A CHIMNEI'; ' //W/-f �RECT VENT w�OTHER
�........_._..��_._.._..�.-�
HEAT LOSS �&�__APPROVE�� EXISTING NOT APPLICABLE
BTII RATE S PEF�-P-� VARIABLE OTHER VALUE
--______�
NATURE OF WORK: "
��2c� /�G�i/V� ��ti.,�/ �U�l�� — �GJU� wC'J.E.L°�
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VALUE (Including labor and materials) $ �%��'d�
�L$�TP.�CAL �C`Iv"I'DaC�rpP� - -
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation Fees
$0 t o $1, 0 0 0 . 0 0........_..................._...._.............................._.................................--•-............._..............$2 0 . 0 0
$1, 0 0 0 .01 t o $10, 0 0 0 . 0 0....._._.................................._..............--•---.._---....-•------._..-•---------.........$2 0 . 0 0 f or f i r s t
$1, 000 . 00 plus $1 . 50 per $100 . 00 valuation or part thereof
$10, 000 . O1 to $25, 000 . 00............:...•••••................................-•••••--............._.......•••--....................$155 . 00 for first
$10, 000 . 00 plus $1 . 00 per $100 . 00 valuation or part thereof :
Over $2 5, 0 0 0 . 0 0....._..........••-••................_......................_............................_.....---••---...........--••-•----•••....$3 0 5 . 0 0 p lus $0 . 5 0
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.