HomeMy WebLinkAbout0089218-HVAC . � •
� CITY OF OSHKOSH No 89218
�
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3001-3015 N MAIN ST Owner DANIEL E DOWLING Create Date 09/14/2001
Contractor GARTMAN MECHANICAL SERVICES Category 512-Ind.&Comm-Both Plan
Fuel ✓ Gas Oil Electric Solar Solid �
System � New _J �✓ Replace I � Other �
✓ Forced Air Radiant Steam ✓ A/C� Vent
Electric Hot Water Suppl.-� Con.Bumer
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 OMM/HVAC system per state plans.
of Work
Fees: Valuation $19,500.00 Plan Approval $0.00 Permit Fee Paid $250.00
Issued By: }�I'Y� Date 09/17/2001
� Permit Voided
In the performance of this work, I agree to perForm all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address 520 W SO PARK AVE PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920)231-5530
� , .
as"O. U�
Division of Inspection Services �
� 215 Church Avenue �
P.O. Box 1130 /
Oshkosh, WI 54903-1130
� Fax q (920) 236-5084
ONINEwAI a phone (920) 236-5048 . �
HVAC PERMIT APPLICA'�ION
All fields/inforr:�ation afrer bold categoriea must be provided. .
Incompl.ete applications will not be orocessed. .
1 � , ��ATB � � I ,
JOB P.DDRESS � .
OWNBR l,i'+����
CONTR,�CTOR
CIRCI,?. ALL APPLICABLF3 !
USE CATEGORY SINGLE FAMIT�`l DUFLEX MULTI-FAPII;�Y C MMERCI INDUSTRIAL
'—�_
FUEL GAS � OIL ELECTRIC SOLPR SOLID
SYSTEIyi NEW <�'PLACE OTHER
TYPE FORCED AIR lTADIANT ' STEAM A/C VENT
ELECTRIC ITOT WATER SUPPL. CON. BURNER
IS CHIMNEY BSING LINED LINER SIZE MANUFACTURER
Note: 1111 chimneys shall be �ized per the BTU's being vsntpd.
CHIMNFY TYP$ CHIMi�?F�' A CHIMNEY B DIRECT VENT OTHER
HEAT fOSS AS APPROVRi� EXISTING NOT APPLICABLE
BTU RATE AS PER PLAI� VARIABLE OTHER VALUE
,
NATUR� OF WORK:
�U� ���-m (�►-� �:� P�c�-n-o -
/�� r
VALUE (Including labor and materials) $ �L,1U
ELSCTRICAL CONTR.ACTOR
Elecr_rical installation of new;'replacement equipment shall be done by licensed
contractors.
Valuar ion Fees
• S o �o S i, o 0 0 .o o...............................................•--...........................................-•-......•--..............................$2 0.o o .
$1, 000 . O1 to $10, 000 . 00.................................................--•...........................................................$20.00 for first
$1, �(1� .00 plus $1 .50 per $1Q0 . 00 valuation or part thereof
$10, 0��0 . O1 to $25, 000 .00............. ..............................................................................................$155.00 for first
$lO, OG�'? .00 plus $1.00 per $10� . �0 valuation or part thereof
Over $25, 000 . 00...................................................................................................................................•-••$305.00 plus �0.50
per $100 . �)0 valuation or part therepf
• Submit payment with applic:.ation. Failure to pay w;_thin 30 days will result in
fees being doubled or $lOC .00 plus the normal permit fee, which ever is
greater. •
r