HomeMy WebLinkAbout0116868 H
~
OSHKOSH
ON THE WATER
Job Address 1666 MARICOPA DR
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
116868
No
Owner
MRiMRS ARTHUR A LEMKE
Create Date 10/19/2005
Plan
Contractor
Fuel
PREMIUM AIR INC
I~ Gas
System
n New
~ Forced Air
I I Electric
Chimney Type K) Chimney A
Heat Loss
K) As Approved
K) As Per Plan
BTU Rate
Category 500 - Residential-Heating & Ventilating
I I Oil
I I Electric
M Replace
I I Solar
I I Solid
D Other
U Radiant
I I Hot Water
U Steam
I I Suppl.
. Direct Vent
U AlC I
I I Con. Burner I
( ) Not Applicable
U Vent
() Chimney B
. Existing
( ) Not Applicable
. Other
Value
( ) Variable
Value 45000
Use/Nature FRI Repalce furnace, --No EIV provided - A SEPARATE ELECTRICAL PERMIT IS REQUIRED FOR CONNECTION OF THIS
of Work PPLIANCE
No chimney liner being installed ---
Nhere an appliance is permanently disconnected from an existing chimney or vent (CN), the CN shall be resized as necessary to control
ue gas condensation in the interior of the CN and to provide the appliance or appliances served with the req. draf
Fees: Valuation
$3,265.00
Issued By:
Plan Approval
$0.00
Permit Fee Paid
$54.50
Date 10/19/2005
D PenmitVoided I
Parcelld 111316560100
In the performance of this work, I agree to perfonm all work pursuant to nuies governing the described constnuction.
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 strongiy 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
Telephone Number
920-982-3323
WI 54944-0
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.