HomeMy WebLinkAbout0090434-HVAC (boiler) ` , No 90434 �
: /�`� CITY OF OSHKOSH =
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OSHKOSH HVAC PERMIT -APPLICATION AND RECORD X
ON THE WATER `
Job Address 801 E NEW YORK AVE Owner JERRY G/PAULA E STEGER Create Date 10/11/2001 =
Contractor GARTMAN MECHANICAL SERVICES Category 500-Residential-Heating&Ventilating Plan �'
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Fuel ✓ Gas Oil Electric Solar Solid �
System New I �✓ Replace I Other I �
Forced Air Radiant Steam A/C Vent �
Electric-� ✓ Hot Water Suppl. Con. Bumer �
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Chimney Type Chimney A Chimney B Direct Vent Not Applicable
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Heat Loss As Approved Existing Not Applicable Value
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BTU Rate As Per Plan Variable Other Value
Use/Nature FR/Replace existing boiler. �
of Work `
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Fees: Valuation $3,150.00 Plan Approval $0.00 Permit Fee Paid $53.00
Issued By: � 1', 1 Date 10/11/2001
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� Permit Voided � �
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In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. �
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Signature Date 3
AgenUOwner �
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Address 520 W SO PARK AVE PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920)231-5530 �
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� Divieion oE Inepection 8ervlw• `
� 215 Church Avenua ;
P.O. Box 1130 � }
7����� Oehkosh, WI 54903-1130 ' #
� N Mf w R Fax p (910) 136-5094 � {
Phone (970) 236-5048 '
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, HVAC PS�IT AP���CA,T�Q�j
Al1 fielda/information ��tQr bold categox#ap� pl�q� pp ��COY�dRd� �
incomplete applicationa will not be pxoce�eeci'.
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JOB ADDR83S �. •� � ;�
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OWNER -
CONTRACTOR
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CIRCI,E ALI, APPLICAHLB ;
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USB CATEQORX SI GLE FAMIL DUPLEX MULTI-FAMII+Y COMM�RCIAI� I�iAUBTRIl�►I, �
FUET, GAS OIL 1�LI�CTRIC SOLAR SO�,Ip ��
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SYSTEM NEW REPLAC ' OTH�R ��`
TYPE FORCED AIR RADIANT ' 3TEAM A/C �TBNT .
ELECTRIC iOT WATER 9UPPL. CONt $URNSR . '�
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IS CHIMNBY B$INQ I.INSD LINER SIZB MA1dIJFAG"�'[JRSR
Note: Al1 chimneye ehall be eized per the BTU's being vented. Yk
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CHIMNEY TYPB CHIMNEY A CHIMNFsY B UIRBCT �/BNT OTHBR ,f
HEAT I.038 AS APPROVED BXISTINC3 NOT APPI�ICABT,B. �
BTU RATE AS PER PI,AN VARIABLE � OTHER YALUB ' � �
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N TURE OF WORK: • . '. �
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VALUE (Including labor a material6) $ �'�•W ;
ELBCTRICAI. CONTRACTOR � � �
Electrical inatallation o new/replacement equipment ehall bo dona by licenead ; � �
contractore. • , , ;
Valuarion ' � � Fee� ';= �
$o to $�, 000 . 00..................... ............................................:..............._._................_..........................$ao.00 . .•�, �
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$i, o00 . oi co �lo, 000.oo......................._......................:........ ............»....» ...»... . ._:.$�p.00 for• �iret �
$1, 000.00 plus $1.50. per $100.00 val�ation or part. thereof r
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�io, o00 .oi to $25, o00 .oo................................»........................................_.............».».»...........$155.00 for 'firat ���- €
$1o, o0t3.00 plue $1.00 per $100.00 valuatiop or part� .thereof <'_�' �
Over $25, 000 .00......................................................................................_.....................................».....».$305.00 plue �0.50 y;} ,[
per $100.oo valuatior� or part tharepf :;�"_; �
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. submit payment with application. Failure to pay within 30 daye will reault ii� `'�^
fees being doubled or $100.00 p�.us the normal permxt fee, which ever ,la ''�
greater. . . . . �k
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