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Home My WebLink About0103982-HVAC (chimney)OSHKOSH ON THE WATER .lob Address 1333 WESTERN ST Contractor Fuel [~J Gas ~ System ~J New CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD BLACK CAT CHIMNEY SERVICE & CONC Oil Owner JACK P/JEAN A MINGUS TRUST Category 500- Residential-Heating & Ventilating L~ Electric Replace Forced Air I ~J Radiant Electric I ~J Hot Water L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O 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~ Solid 103982 09/05/2003 Other Vent J Use/Nature SFR/Tearing down the existing chimney to the roof and rebuilding the chimney. The chimney will be lined and the flashing will be repaired. of Work Fees: Valuation $1,100.00 Plan Approval $0.00 Permit Fee Paid $21.50 Issued By: Date 09/05/2003 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 1333WESTERN ST Contractor BLACK CAT CHIMNEY SERVICE & CON{ Fuel I¢'1 Gas I ~j Oil System [] New I ~ Forced Air ~ ~J Radiant []- E~e~c I ChimneyType ~,.) ChimneyA (_~ ChimneyB CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD I,,,,J Hot Water Owner JACK P/JEAN A MINGUS TRUST Category 500 - Residential-Heating & Ventilating [-~ Electric I I Solar [] Replace LJ Steem ~ NC I I Suppl. I [] Con. Burner (,2 DirectVent O Not Applicable Neat Loss ~ ~ As Approved (,.,1 Existing O Not Applicable I Value BTU Rate ~ As Per Plan (,_) Variable ~ Other I Value No 103982 Create Date 09/05/2003 Plan [] Solid [] Other Vent 0 Fees: Valuation $1,100.00 Plan Approval $0.00 Permit Fee Paid $21.50 Issued By: ~V~/~ Date 09/05/2003 [] 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) andfto secb~ any necessary approvals before starting such activity. Agent/Owner Address PO BOX t946 OSHKOSH WI 54903 -1946 Telephone Number (920) 279-0197 To schedule inspections please call the Inspection Request line at 236-5126 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 reformation after bold categories must be provided. Incomplete applications wilt not be processed. Application(s) and fee(s) can be brought to Ciyy Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-t 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 ~.o~u are a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed througj~ your account CONTRACTOr_/ _4_Ck / CHECK ~ AJ~L APPLICABLE USE CATEGORY ~Single Family []Duplex [3Multi-Family [Rental [Commercial [3Indusrr/al FUEL [~Gas [2]Electric UlSolid SYSTEM ~New CIRepiacc F1Oil ~Solar [~Otber TYPE ~Forced Air UlRadiant tDSteam UIA/C [21Vent F1Electric ~Hot Water nSuppI. DCon. Burner IS ClttlVLNEY BEING LINED [3No I~lYes - LINER SIZE Note: Ali cla/mneys shatl be skaed per the BTU's being vented. & MANUFACTURER CHIMNEY TYPE [3Chimney A [3Chimney B ~IDirect Vent 12Other HEAT LOSS FIAs Approved ElExisting ~Not Applicable BTU RATE ~As Per Plan DVafiable ~Other Value [ ~ ~/t ~O DESCRIPT, IOI~ OF ~LL WORK BEING DONE,._~m--~ /fro ~ ,~ ~ V' VALUE (Including labor and all materials including light fixtures) $ //~ · 04:55 ELECTRICAL CONTRACTOR D For applicable projects, an Electric Installation Verification form, signed by tahe Electrical Contractor, must be attached. If'not attached or not applicable, a separate Electrical Permit is required, ?