HomeMy WebLinkAbout0113900-HVAC (furnace; a/c)
113900
CITY OF OSHKOSH
No
OSHKOSHHVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
STEPHEN R MARIUCCI
Job AddressOwner
1643 MICHIGAN ST
Create Date05/05/2005
ContractorBLACK-HAAK HEATINGCategory502 - Residential-BothPlan
Oil üü Electric
üü GasSolarSolid
Fuel
New üü ReplaceOther
System
üü Forced AirRadiantSteam üü A/CVent
ElectricHot WaterSuppl.Con. Burner
Chimney TypeChimney AChimney BDirect VentNot Applicable
Heat LossAs ApprovedExistingNot ApplicableValue0
As Per PlanVariableOther
BTU RateValue
Use/Nature
SFR/ Replace furnace and A/C. No liner being installed EIV provided was from an unlicensed contractor - A SEPARATE ELECTRICAL
of Work
PERMIT IS REQUIRED FOR CONNECTION OF THIS APPLIANCEWhere an appliance is permanently disconnected from an existing chimney
or vent (C/V), the C/V shall be resized as necessary to control flue gas condensation in the interior of the C/V and to provide the appliance or
appliances served with the req. draft
Plan Approval$0.00
Fees: Valuation$6,910.00Permit Fee Paid$110.00
Issued By:Date05/05/2005
Permit Voided
Parcel Id #1301820000
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.
SignatureDate
Agent/Owner
AddressPO BOX 3070APPLETONTelephone Number920-757-9990
WI54914-70
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.