HomeMy WebLinkAbout0089961-HVAC (boiler) � CITY OF OSHKOSH No 89961
Z -
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 710 S MAIN ST Owner RECREATION LANES Create Date 07/26/2001
Contractor E C MERRILL INC Category 510-Ind.&Comm-Heating&Ventilating Plan
Fuel ✓ Gas Oil —� Electric Solar � Solid
System New ; 0✓ Replace �, Other I
Forced Air �Radiant ✓ Steam A/C � Vent �
Electric Hot Water Suppl. Con.Burner
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 ec Lanes/Replace existing boiler with new boiler-same size,same manufacturer
of Work
Fees: Valuation $6,000.00 Plan Approval $0.00 Permit Fee Paid $95.00
Issued By: K,m Date 10/02/2001
� Permit Voided j
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address 804 WITZEL AVE OSHKOSH WI 54902 -5710 Telephone Number (920)235-3600
07/24/2001 21:14 0000000 EC MERRILL INC PAGE 81
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HVAC PLRMIT APPLIGATION
All fielda/infos�►ation after bold categoriea muet be provided.
IYieomplete applicatione will not be proceseed_ '
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JOB 11DDRa88 �
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corrrxr►crox (� . L_ rM.�cz�. ,..�, , �o� c_
CIRCL6 ALL 1►pPLICAHLB
IISE CJ►TEOORY SINGLS eAMILY DUPLEX MUI,TI-FAMILY CONA9ERCIAL INDUSTRIAL
FtTBL � OIL ELECTRIC SOI.AR SOLID
9Y3T�( NEW REPLA OTHER
TYPH FORCED AIR RADIANT STEA�IN A/C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHI�QJYY HlIN(i LINBD LINER SIZE U � MANiJFACTCTRER
Note: A1l chimneye ehall be s' ex the B�t1�e being vented_
CHIIQQHY TYPE Ci-tIMNEY CHIMNEY B DIRECT VENT OTHER
I[E71T LOSS AS APPROVED EXISTING N�T APPLICASLE
BTO R1►T$ AS PER PLAN VARIA$LE OTHER VALUE
I�1]1TIIR3 OF f�JOR7C: �C��t.vti.G�t t?•..t� 1 '�T� v V t'3 0��..�Lc� �v �T �- �'Z w
R� o��z,�. � S u4 r-t'(� S � 2- l� ��wt� �t r�w �,�►�-e.i'v t2.1�z_
/ � w� �� _+til�L��nJ
VriI,QE (Including labor and materiale) S lo �C�
SLHCTRIC]1L GOA1T'RACTOR
Eleccricai inatallation of neW/zepl�cement equipment ehall be done by licensed
contractora.
Valuation Fees
50 to S1, 000.00._._...._._._._......._._._._._...._.........._._._._._._......._......._...._._._.__._...._._......._..$20.00
$1,000.01 to $10,000.00.____.___________._.___._.__�...._._.__._____. _________�$20.00 for first
51,000.00 plus $1.50 per $100.00 valuation or part thereof
$10, 000.01 to $25, 000.00.._......._._._.__............._...._...._._.........._._......._._._�.---•-•-------•..$155.00 for first
$10, 000 .00 plus $1.00 per $100.00 valuation or part thereof
Over $zs, o00.00.._._._._._._._._....--_•- --.-•.... .5305.00 plus So.So
per $100.00 valuation or part Chexeof
� Submit payment with application_ Failure to pay within 30 days will result in
feea being doubled or 5100.00 plus the normal permit fee, which ever is
greatez.