HomeMy WebLinkAbout0101499-HVACOSHKOSH
ON THE WATER
4000 STATE ROAD 91
RJ KAMPO PLUMBING & HEATING INC
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~ Radiant
Electric I ~J Hot Water
Owner CLOUD CITY LIMITED PARTNERSHIP
Category 510 - Ind. & Comm-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss IO As Approved ~ Existing
BTU Rate IO As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
101499
05/09/2003
Other
Vent J
Use/Nature COMM/
of Work
Fees: Valuation
Issued By:
$29,084.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$325.50
Date 05/15/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1000 S WESTLAND DR APPLETON WI 54914 -8862 Telephone Number
(920) 730-9600
- /
Division of Inspection Services /~ I~ ' J --~
215 Church Avenue
~AC PERMIT ~ICATION~~~
Al! fields/info=ation after bold categories must ~~.
Incomplete applications Will not be processed.
. . , . ~ . - .
CIRCLE ALL APPLI~BLE
F~5 ~ OIL ELECTRIC
SYSTEM
TYPE C~oRcED A~ ~I~T
ELECTRIC HOT WATER SUPPL.
CON. BURNER
IS CHIMNEY BEING LINED LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
MANUFACTURER
CHIMAIEY TYPE CHIMNEY A CHIMNEY B DIRECT VENT OTHER
BTU ~TE ~ V~I~LE OTHER V~
NAT~E OF WORK: ~~ ~~
V~UE (Including l~or and ~terials) $ ~. ~~0
ELECTRI~ CO~CTOR
Electrical installation of new/replacement e~ipment shall
co~tractors .
Valuation s
~o ~o ~, ooo. oo ............................................................................................................... .~...~o. oo ~
$1,000.0t to $10,000.00 ....................................................................... T'"~ ............... $20.00 for first
$1,000.00 plus $!.50 per~O0.O0 valuation or part thereof
~:;~10,000.01 to $25,000.00 ....................................................... ~ .................................... $155.00 for first
~ $10,000.00 plus $1.~per $100.00 valuation or part thereof
over $~,ooo.oo ................................................... ~ .......... ~ ....................................................... $3o~.o'o D~us So.so
~0~ ~ ~O~ ~ ~ff~ per $~oo.0o valuation or ~art t~ereof
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