HomeMy WebLinkAbout0103438-HVACOSHKOSH
ON THE WATER
.lob Address 4610 SHAMBEAU DR
Contractor HAAK HEATING INC
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner MARTIN I/CAROLY DARGEVlCS
Category 500- Residential-Heating & Ventilating
L~ Electric
New ] ~ Replace ]
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~) Chimney A ~) Chimney B O Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate IO As Per Plan ~] Variable ~] Other I Value
No
Create Date
Plan
~ Solid
103438
06/30/2003
Other ]
Vent
Use/Nature NSFR/Install HVAC for new single family home.
of Work
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $65.00
Issued By: Date 08/11/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1824 N LOCUST ST APPLETON WI 54914 - 0
Telephone Number
920-734-6937
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.
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 any necessary approvals before starting such activity.
Aug ~,* 03
04:01p
Oshkosh
Inspections
920-236-5084
City o f Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
Application(s) and fee(s) can be brought to C ~' Hall, Room 205 or mailed to Inspection Seiw4ces, PO Box 1 i28,
Oshkosh WI 5490%1128. Corm'nencing work without permit(s) will result in fees being doubled or $100.00 plus the
nermal permit ibc, which ever is geater.
OR
i~o~ qr~ a contract~articiRatD~n ~[~e Permit [ee .4ccou~ Svstem and have adeqEate (~nds check h~re
CONT~CTOR. ~ ~
CHECK [~ ALL APPLICABLE
USE CATEGORY
[~'q'n gl e Fmmily ElDuplex
E]Multi-Famfly URental
~Conm~ercial
F1kndustfial
FITEL l~'Oas EIElectrlc [3Solid SYSTEM LUNew [.2Replace
UIOil CISolar Ui,' Other
i'YPE
LLktectnc ~Hot Water OSuppL ECoa. Burner
Ikc}F,~ced Air UlRadianr ~Stearn ~A/C CiVent ' '
- r - LLNER. SU5~, & MANUFACTLIR-ER
!S C~'5' BEING LINED ~9 ~Y~5
Note: All chimneys shall be sized per the BTUs being vented.
Cttl~INEY TYPE I~ Chimney A E3Chflnt~ey B ~_,_)i rect Vent
'~ '~ 'n* ~Not Appi~cabk
~AT LOSS ~As Approved ~x~ ~
BTU RATE ~s Per Plan ~Vadabie ~Other ValUe
DESCRIPTION OF ~,L WO~ BEING DONE_ 14 ~_C .... ~ . r
V,~UE (Including labor and all materials i.¢l~dinl light fixtures) $ ¢~
ELECTRICAL CONTRACTOR
[] For applicable projects, an Electric Installation Verification roma, si~wzted by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.