HomeMy WebLinkAbout0117054 H
e
OSHKOSH
ON THE WATER
Job Address 2280 PATRIOT LN #E
CITY OF OSHKOSH
No
117054
HVAC PERMIT -APPLICATION AND RECORD
Owner
DAVID W/DIANE J TIGERT
Create Date 11/01/2005
Plan
Contractor BREWER HEATING
Fuel I~ Gas
System n New
~ Forced Air
I I Electric
Chimney Type K) Chimney A
Heat Loss K ) As Approved
BTU Rate K ) As Per Plan
Category 500 - Residential-Heating & Ventilating
I I Electric
n Replace
U Steam
I I Suppl.
I I Solar
I I Solid
I I Oil
I
~ Other
( ) Chimney B
() Existing
() DirectVent
U PJC I
I I Con. Burner I
. Not Applicable
U Vent
U Radiant
I I Hot Water
( ) Variable
"";;;".:; r' -~""~....~"'
. Not Applicable
. Other
Value
0
Value
Fees: Valuation
$1,200.00
Plan Approval
$0.00
Permit Fee Paid
$23.00
Issued By:
Date 11/01/2005
0 PennitVoided I
Parcelld # 1621650538
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 perfonn 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
N8804 N DOUGLAS ST
RiPON
WI 54971-0
Telephone Number
920-748-6494
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.