HomeMy WebLinkAbout0115880 H
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OSHKOSH
ON THE WATER
Job Address 2327 MOUNT VERNON ST
CITY OF OSHKOSH
No
115880
HVAC PERMIT - APPLICATION AND RECORD
Owner
BRENDA J STONE
Create Date 08/22/2005
Plan
Contractor
PREMIUM AIR INC
1"'1 Gas
0 New
Category 502 - Residential-Both
I I Eiectric
I I Solar
L I Solid
Fuel
1 I Oil
1
System
0 Replace
U Steam
I I Suppl.
. DlrectVent
n Other
~ AlC I U Vent
I I Con. Bumer I
() Not Applicable
Chimney Type
Heat Loss
~ Forced Air
I I Electric
() Chimney A
. As Approved
U As Per Plan
U Radiant
I I HotWater
( ) Chimney B
( ) Existing
BTU Rate
( ) Variable
( ) Not Applicable
. Other
Value
Value 60000
Use/Nature FRI Replace furnace, install AlC - EIV provided by Premium Air - No Chimney Liner being installed -Where an appliance is permanently
of Work isconnected from an existing chimney or vent (CN), the CN shall be resized as necessary to control flue gas condensation In the interior
f the CN and to provide the appliance or appliances served with the req. draft.
Fees: Valuation
$10,357.00
Plan Approval
$0.00
Pennit Fee Paid
$159.00
Date 08/22/2005
Issued By:
0 Permit Voided I
Parcelld # 1517270000
In the performance of this work, I agree to perform all work pursuant to rules goveming 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
AgenUOwner
Address
N3225 HWY 15
HORTONVILLE
WI 54944-0
Telephone Number
920-982-3323
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
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
E;I V
ELECTRICAL PERMIT APPLICATION
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All information after bold categories must be provided.
Incomplete 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 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
If YOU are a contractor varticivatinfl in the Permit Fee Account System and have'adeQuate funds, check here
if yOU want this vrocessed throuflh your account 0
DATE
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JOB ADDRESS ,;)?-,;I, 7 /17f. /I.eP()NI
OWNER Br-ß/!da Sf-or¡¿ I( .ba./.e
CONTRACTOR fr¿:;/n¡ì-ttJ? /1/;'-1 he..
. 1
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- One f-(t:;t&Ù
CHECK ø ALL APPLICABLE
USE CATEGORY
JaSingle Family ODuplex
OMulti-Family
ORental
0 Commercial
OIndustrial
SERVICE ONew
~Change
OTemporary
ONot Applicable
TYPE OOverhead
OUnderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK ø ALL APPLICABLE
~
ORange ODishwasher OGarbage Disposal
DFan OR Blower ..IDurnace )BAIc
OMotors OGas Pumps 0 ather
DESC~IPTIONOF ALL WORKBEINGDONE~1'(~""'- -exlçi~
~ ~~ d!
ODryer OWater Heater
OElectric Sign
VALUE (Including labor and all materials including light fixtures) $ 110,\ 3'5" ~ ,O-D
MASTER ELECTRICIAN ) r-em,'/(fV\ ,4-1": I ~
3/02