HomeMy WebLinkAbout0106232-HVAC (liner) �/� CITY OF OSHKOSH No �os2s2 ;
�GA�::;` 4
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD " `
ON THE WATER � 3�
Job Address 810 E NEW YORK AVE Owner LINDA L BROWNLEA Create Date 01/29/2004 °��TF",
Contractor BLACK CAT CHIMNEY SERVICE&CON� Category 500-Residential-Heating&Ventilating Plan
Fuel ✓ Gas Oil r � Electric Solar Solid
L�------� �—�
System [� New _ _ � � Replace _ i �] Other
Forced Air Radiant ' �Steam A/C Vent
�L__- �
Eiectric Hot Water �;SuppL� Con.Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value 0
BTU Rate _As Per Plan Variable Other Value 140,000 btu
Use/Nature FR/Remove obsolete B-vent pipe and install UL listed aluminum liner for gas fumace,manifolding in water heater that is not venting as
of Work er NFPA 54 and state of WI UDC.
Fees: Valuation $465.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: �� Date 01/29/2004
� Permit Voided Parcel Id#1509830000
In the performance of this work,I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure an ecessary rovals b tarting such activity.
Signature " Date — —�
Agent/Owner
Address PO BOX 1946 OSHKOSH WI 54903 -1946 Telephone Number (920)279-0197
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
�
s
City of Oshkosh � �
Division of Inspecrion Services �
P.O.Box 1130 � �g
Oshkosh,WI 54903-1130 �
Phone(920)236-5050
Fax (920)236-5084 O HKO.lH
� ON THE WATER
HVAC PERMIT APPLICATION
All informarion after bold categories must be provided.
Incomplete applicarions will not be processed.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the ;
normal permit fee,which ever is greater. �
OR �
If vou are a contractor participating in the Permit fee Account Svstem and have adequate funds check here
if vou want this processed through vour account n i
DA� /-a � - o �{
JOB ADDRESS �1 O �. l�l�;,.� ya,-!� ,4��
OWNER L � ra w /
CONTRACTOR T� L./ Q'C''��1R�`
CHECK�ALL APPLICABLE
USE CATEGORY
�ingle Family ODuplex ❑Multi-Family ORental �Commercial ❑Industrial
FITEL �Gas ❑Electric ❑Solid SYSTEM ONew ❑Replace
❑Oil ❑Solar �Other
TYPE
�Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric �Hot Water ❑Suppl. �Con. Burner
IS CHIlVINEY BEING LINED ❑No �Yes -LINER SIZE r s � &MANUFACTURER���oX-�// .Td►y'e.•:a�'.r�»�: ( �
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A �Chimney B �Direct Vent ❑Other
HEAT LOSS ❑As Approved �Existing �1Not Applicable
BTU RATE ❑As PerPlan ❑Variable �Other Value /�D.OdO RT.Uy �1-a7`q / �cnrhq�t��a'1"B��eo:�:_
w �` 'rh a r �s� o-f- av-F�cT, �
DESCRIPTIONOFALLWORKBEINGDONE Re�+-�vvE� Obsol.�fie B-VQ,�-,�- �i�Q a�c� :
� / /, . /� ! o� s
_�1.�J�Q 1� ��L. /i S�L� Q�(i.J++i Nl'(h �i h H f �/-O:✓ �I�S 'YC�_r ri cL c�� � J+�A s�i 7`d�L( /r1 t1 /f'� 1✓�'t�✓ _
tina-f�r tl�T ia i s r�s��t' v h�f-��Ky c�5 ��� N.FRA. S5� c .,� S�te v,�' W_T
�r� i�d�h. r�(tvv_��,�.�G: C�eE e
VALUE (Including labor and all materials including light fiatures)$ 7` �G+.�. C�'a'
ELECTRICAL CONTRACTOR
❑For applicable projects,an Electric Installation Verification form, signed by the Electrical Contractor,must be
attached. If not attached or not applicable, a separate Electrical Pernut is required.
9/oa
�