HomeMy WebLinkAbout0103771-HVACOSHKOSH
ON THE WATER
4405 ISLAND VIEW DR
FONDY HEATING & AIR CONDITIONING
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner NICK & ELIZABETH YOBLONSKI
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
103771
06/04/2003
Other J
Vent J
Use/Nature NSFR/LATE PERMIT/Install furnace, A/C, air to air, and dryer vent for new home.
of Work
Fees: Valuation
Issued By:
$6,700.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$105.50
Date 08/28/2003
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 any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address N7433 LAKESHORE DR FOND DU LAC WI 54937 -0 Telephone Number
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.
City of Oshkosh
DivLsion of Inspection Sexvices
P.O. Box 1130
Oskkosh, ~ $4903-1130
Phon~ (~0) 2~5050
F~ [92~) 236-5~
HVAC PERMIT APPUCATION
All ~nfom~on afte~ bold categories ranst be provided
lucor~let¢ applications will not be processed.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box i 125,
Oshkc~ Wl 5~003-1128. Commencing work without pea-trfit(s) w~l renault in fe~ being d~ubled or $! 00,00 plus the
norrml permit fee, which ever is 8re~ter.
OR
Fo, t are a co~tractor varticioatinff in the Permit fee Account System and have ~dequqte funds, check here
ifyoewantthi~proee$$edtkre~ffhvot~raccount~-~DATE,
CI~CK ~ ~ APPLICABLE
USE CATEGORY
lglSmgle Family DDuplex
l~dulti-Family ~Rental ~Commercia! rqIndustrial
FL*EL 1/~lGas CtEl~ric EISolid SY~'rI~M r'tNew fireplace
E1OiI FISolar ClOther
TYPE
]~glForcedA/r [:IRadim~t [ISteam F1A]C ElVimt ~Elc~c ~otWat~ ~S~pl.
IS C~Y BErG ~No ~Y~ - L~R S~E & ~A~.
Note: All c~ys ~tl ~ s~ p~ L~ B~'s berg v~md.
C~Y ~E ~' A OC~ B ~rcct V~t OO~
~AT LOSS ~ .~rov~ ~Bxis~g ~t Apphcab[c
[3Con. Burner
VALUE (Includiug iaSor and ali materials includiag light fixtures) S ~,/ ~00. (9 (9
ELECTRICAL CONTRACTOR
I3 For applicable projects, an Bl~clric In~tallation Verification form, sig~cd by th~ Electrical Contractor, must be
attached, ffnot attached or not applicable, a separate Ele¢Irical Permit is required.