HomeMy WebLinkAbout0101064-HVACOSHKOSH
ON THE WATER
.lob Address 1920 ALGOMA BLVD
Contractor CENTRAL HEATING SERVICE INC
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner THOMAS KARRELS
Category 512- Ind. & Comm-Both
Electric
Replace
L~ Steam
L~ suppl.
No 101064
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Create Date 01/03/2003
Plan E9-45-0602
Solar I ~J Solid
~J Other
A/C I ~J Vent
Con. Burner I
Not Applicable
Value
Value
Not Applicable
Other
Use/Nature COMM/ New 4374 sf retail building with full basement. Install HVAC.* Late Permit.
of Work
Fees: Valuation
Issued By:
$16,200.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$217.00
Date 04/28/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1565 HARRISON STREET OSHKOSH WI 54901 -0
Telephone Number
(920) 235-6670
All fields/information after bold categories must be pr°~E~.~ ~ 2002
Incomplete applications will not be processed.
JOB ADDRESS
CONTRACTOR ~ f/L~<. ~p
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY
FUEL ~OIL
SYSTEM
TYPE
DUPLEX
ELECTRIC
REPLACE
RADIANT
HOT WATER
LINER SIZE
MULTI-FAMILY ~
SOLAR SOLID
OTHER
STEAM
SUPPL.
ELECTRIC
IS CHIMNEY BEING LINED
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY B DIRECT VENT
HEAT LOSS ~D EXISTING
BTU RATE ~~~
VARIABLE
NATURE OF WORK:
INDUSTRIAL
VENT
CON. BURNER
MANUFACTURER
NOT APPLICABLE
OTHER VALUE
OTHER
VALUE (Including labor and materials) $ / ~ ! ~ OO- D ~> ~ 2. / ~
ELECTRICAL CONTRACTOR
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation Fees
$0 to $1,000.00 ....................................................................................................................................... $20.00
$1,000.0! to $10,000.00 ............................................................................................................... $20.00 for first
$1,000.00 plus $1.50 per $100.00 valuation or part.~ thereof
$!0,000.01 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.