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Home My WebLink About0103929 HOSHKOSH ON THE WATER .lob Address 501 W 18TH AVE Contractor Fuel ~J Gas ~ System ~J New CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD BLACK CAT CHIMNEY SERVICE & CONC Oil Forced Air I ~J Radiant Electric I ~J Hot Water Owner SLAVKO/MILENA MANOJLOVIC Category 500- Residential-Heating & Ventilating 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 103929 09/04/2003 Other J Vent J 38m btu Use/Nature SFR/Tear down and rebuild chimney. Fix flashing & counter flash. Install liner for orphaned water heater. of Work Fees: Valuation Issued By: $775.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $20.00 Date 09/04/2003 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 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. CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Chimney Type ~.~ Chimney A (,~ Chimney B O Direct Vent No 103929 OSHKOSH ON THE WATER Job Address 501 W 18TH AVE Owner SLAVKO/MILENA MANOJLOVIC Create Date 09/04/2003 Contractor BLACK CAT CHIMNEY SERVICE & CONI Category 500 - Residential-Heating & Ventilating Plan Fuel I"1 Gas I I I Oil I L~ Electric I L] Solar I L] Solid I System [] New I [] Replace I [] Other ~ ~j Forced Air [ ~ Radiant i ~J Steam I ~J A/C I I I Electric I I IH°twater I I ISuppI' I [,,] Con. Burner I ~ ~ Not Applicable j Vent J Heat Loss ~.~ As Approved { .~ Existing O Not Applicable J Value 0 BTU Rate ~) As Per Plan (...} Vadable ~ Other J Value 38m btu Use/Nature FPJ Tear down and rebuild chimney. Fix flashing & counter flash. Install liner for orphaned water heater. of Work Fees: Valuation $775.00 Plan Approval $0.00 Permit Fee Paid $20.00 Issued By: V~ Date 09/04/2003 [] Permit Voided J 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 resthctions of which it is not a party, if you perform the work described in this permit appJication within an easement, the City strongly urges the permit applicant to contact the easement holder(s) an~ t~secu?~aT~y necessary approvals before starting such activity. Signature ~. ~--~.~ -~ /.~ ~/ Date ~ ~ O~ [ "~ 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 236-5'128 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 Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 HVAC pERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. O/HKO/H Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box l 128, Oshkosh WI 54903-I 128. 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 you are a contractor participating in the Permit fee Account System and have ~tdequate funds, check here if you want this processed through your account [~ JOB ADDRESS oWNER CRECK [] ALL APPLICABLE USE CATEGORY l~Single Family F'lDuplex DMulti-Family F1Rent'~l [2Commercial IDIndustrial FUEL ~'Gas ElEtectric DSolid SYSTEM UlOil ElSolar EINew ~Replace ,,l~Other TYPE [~Forced Air F1Radiant F1Steam FIA/C F1Vent F1Electric IS CHIMNEY BEING LINED UINo I~lYes - LINER SIZE .~& Note: All chimneys shall be sized per the BTU's being vented. FIHot Water F1Suppl. I~Con. Burner & MANUFACTURER~¢ CHIMNEY TYPE EIChimney A ElChimney B ~]Direct Vent FIOther HEAT LOSS mAs Approved F1Existing ~tNot Applicable BTU RATE EIAs Per Plan F1Variable l~Other Value ~,~ ~//~7Oo ~7~. ~'x5 DE.S, CRIPTION OF o,- / // /, ' / VALUE (Including labor and all materials including light fixtures) 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 Permit is required. /