HomeMy WebLinkAbout0115988 H
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OSHKOSH
ON THE WATER
Job Address 505 E NEW YORK AVE
CITY OF OSHKOSH
No
115988
HVAC PERMIT -APPLICATION AND RECORD
OWner
GLEN E CLEMENTS
Create Date 08/29/2005
Contractor PREMIUM AIR INC
Fuel 1"'1 Gas
System n New
Lv'! Forced Air
I I Electric
Chimney Type [) Chimney A
Heat Loss [ ) As Approved
BTU Rate U As Per Plan
Category 500 - Residential-Heating & Ventiiating
Plan
I I Soiar
I I Solid
I 1011
I
I I Eiectric
P1 Replace
U Steam
I I Supp!.
nOther
( ) Chimney B
. Existln9
. Direct Vent
U AlC I
I I Con. Bumer I
( ) Not Applicable
U Vent
U Radiant
I I Hot Water
( ) Variabie
( ) Not Applicable
. Other
Value
Value
Use/Nature FR/ Repiace fumace - EIV provided by Premium Air - No Chimney liner not bein9 installed --Where an appliance is permanently
of Work isconnected from an existin9 chimney or vent (CN), the CN shall be resized as necessary to control flue gas condensation in the interior
6f the CN and to provide the appliance or appliances served with the req. draft.
Fees: Valuation
$3,034.00
Plan Approval
$0.00
Permit Fee Paid
$51.50
Issued By:
Date 08129/2005
D Permit Voided I
Parcelld # 1109270000
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
Agent/Owner
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.