HomeMy WebLinkAbout093860 - HVAC (replace central air) en CITY OF OSHKOSH No 93860
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2209 MOUNT VERNON ST Owner CHARLES W/CYNTH ROSENAU Create Date 04/26/2002
Contractor CUSTOM HEATING&COOLING Category 501 -Residential-Air Conditioning Plan
Fuel Gas I Oil ✓ Electric !; Solar I Solid
System [] New 0 Replace 1 ❑ Other
_j Forced Air I I Radiant _J Steam u A/C u Vent
I Electric Hot Water Suppl. I Con. Burner
Chimney Type D Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss 0 As Approved U Existing • Not Applicable Value 0
BTU Rate 0 As Per Plan U Variable • Other Value
Use/Nature SFR/Replace central air with 1.5 TON 18m BTU. *EIV form from Hoehne Electric.
of Work
Fees: Valuation $1,450.00 Plan Approval $0.00 Permit Fee Paid $27.50
Issued By: K+M Date 04/26/2002
❑ 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 1503 SOUTH MAIN STREET OSHKOSH WI 54902 -4465 Telephone Number (920)235-7263
le Division of Inspection Services
215 Church Avenue
N P.O. Box 1130
Fa 54903-1130
CUMITv
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 � . Q` .
JOB ADDRESS ,926 9 /ll7 /-L.042)
OWNER___
CONTRACTOR
CIRCLE ALL APPLI
USE CATEGORY('-SINGLE FAMILY`____120PLEX MULTI-FAMILY COMMERCIAL INDUSTRIAL
FUEL GAS OIL ELECTRIC SOLAR ID
SYSTEM NEW REPLACE OTHER
TYPE FORCED AIR RADIANT STEAM A/C^� SOLVENT
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
NATURE OF WORK: ge/l�-k d ePcc /*z Cc.c--7 / �_ //r% '----
a� 47-41
VALUE (Including labor and mater als) $ /-4/�Q
ELECTRICAL CONTRACTOR cfLJ
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 $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.
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