HomeMy WebLinkAbout0102412 HOSHKOSH
ON THE WATER
.lob Address 505 N WESTFIELD ST
Contractor PALISADES SHEET METAL
Fuel
System
Gas J ~J Oil
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner MICHAEL J MCCLONE
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B
~ Existing
~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
102412
06/24/2003
Other J
Vent J
Use/Nature COMM/Replace furnace.
of Work
Fees: Valuation
Issued By:
$4,600.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$74.00
Date 06/24/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1475 RACINE ROAD MENASHA WI 54952 -0
Telephone Number
(920) 729-1282
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
~-~ Fax # (920) 236-5084
~ ~ Phone (920) 236-5048
JUN 3
HVAC PERMIT AppLICATION A
s must be RTMENT OF
Ail fields/information after bold categorie tq~Q¥~ ....... $ m,,,
Incomplete applications Will not be processed~Y~J~%~V~0~¥ D~u~' '""~
JOB ADDRESS
OWNER
505 N Westfield
McC16ne Agency
CONTRACTOR Palisades Sheet Metal
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX
FUEL ~ OIL ELECTRIC
SYSTEM NEW ~
TYPE ~~ED ~IR~ RADIANT
ELECTRIC HOT WATER
DATE
MULTI-FAMILY ~M INDUSTRIAL
SOLAR ~ID
OTHER
STEAM A/C
SUPPL.
IS CHIMNEY BEING LINED LINER SIZE ~JLNI3FACTURER
ore: 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
VENT
CON. BURNER
BTU RATE AS PER PLAN VARIABLE
OTHER VALUE
NATURE OF WORK:
and materials)
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 ................................................ ,,.....i ................................................. $155.00 for first
$10,000.00 plus $1.00 per $100.00 valuationor part thereof
Over $25,000.00 ........................................... [ .................................................. r.~.,.~ .............. ,~, ............. $305.00 plus $0.50
,/~-~' ' ~ :: per $100.00 valua~ioh or p~rt thereof
· Submit' paymen~ wit~i~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.