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Home My WebLink About0103928 HOSHKOSH ON THE WATER 420 S WESTFIELD ST BLACK CAT CHIMNEY SERVICE & CON(: 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 GERALD L/DONNA BOTHNER LIFE ESTAT Category 500- Residential-Heating & Ventilating L~ Electric Replace L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type IO Chimney A ~) Chimney B O Direct Vent ~ Not Applicable I Heat Loss I~ As Approved ~ Existing O Not Applicable I Value BTU Rate I~ As Per Plan ~) Variable ~ Other I Value No Create Date Plan L~J Solid 103928 09/04/2003 Other J Vent J 80m btu Use/Nature SFR/Tear down and rebuild S. side chimney 13 courses and N. side 10 courses. Install R-Co wrap on gas furnace chimney and re-line with of Work AL294C stainless steel liner for condening fuel high-efficiency boiler. Fees: Valuation $6,411.00 Plan Approval $0.00 Permit Fee Paid $102.50 Issued By: 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 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. OSHKOSH ON THE WATER Job Address 420 S WESTFIELD ST Contractor BLACK CAT CHIMNEY SERVICE & CON~ Fuel Iv'l Gas I I IOil ~j Forced Air I ~j Radiant I I Electric I I I Hot Water CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Owner GERALD L/DONNA BOTHNER LIFE ESTA~ Category 500- Residential-Heating & Ventilating No 103928 Create Date 09/04/2003 Plan I IElectric I I J solar I ~lid 1 [] Replace I [] Other j j ~J Nc j I [ I Con. Burner I ~J Steam ~J Vent j I,,I s.ppl. Chimney Type ~ ChimneyA (,2 ChimneyB O DirectVent ~ Not Applicable J Heat Loss ~ ~ As Approved ~ ~ Existing O Not Applicable I Value BTU Rate ~_~ As Per Plan ~.~ Vadable ~ Other I Value 80m btu Use/Nature ~FR/Tear down and rebuild S. side chimney 13 coumes and N. side 10 courses. Install R-Co wrap on gas furnace chimney and re-line with of Work \L294C stainless steel liner for condening fuel high-efficiency boiler. Fees: Valuation $6,411.00 Plan Approval $0.00 Permit Fee Paid $102.50 Issued By: ~'~. 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 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 tofsecur.elany necessary approvals before starting such activity. Siguatura ~~ ¢ ~/~)~/t~,_~ Date ¢~- ~/~'-/-~ ~ I ~' 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 pe~ormed 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 O/HKO/H HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications wilt 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 I£vou are a contractor participating( in the Permit fee Account System and have ktdequate funds, check here i£¥ou want this processed through your account ~ CONTRACTOR ,~, C~'~ ~'~1.-1'-' ~.z~, ,~,,~ ~.~ _.~,.-"¢' ¢ e / CHECK [] ALL APPLICABLE USE CATEGORY l~Single Family F1Duplex I-1Multi-Family V1Rental VICommercial D Industrial FUEL ~Gas FiElectric [~gSolid SYSTEM VIOil [:]Solar VINew FIReplace ~ther TYPE ~Forced Air V1Radiant [:]Steam V1A/C [:]Vent I~Electric IS CHIMNEY BEING LINED F1No ~Yes - LINER SIZE Note: All chimneys shall be sized per the BTU's being vented. DHot Water FiSuppl. DCOn. Burner & MANUFACTURER/-/~,%~r CHIMNEY TYPE DChimney A F1Chimney B [~rDirect Vent HEAT LOSS F1As Approved [:]Existing [~Not Applicable BTU RATE r'lAs Per Plan FIVariable DOther Value OESCRIPTION OF ALL WORK BEING DONE '~e-,~- J_.~..~ VALUE (Ineludingrlabor and all materials including light fixtures) $ ~ ~/'/- 0 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. 9/02