HomeMy WebLinkAbout0117413 H
e
OSHKOSH
ON THE WATER
Job Address 1144 HIGH AVE
CITY OF OSHKOSH
No
117413
HVAC PERMIT. APPLICATION AND RECORD
OWner
ALLEN/JACQUELIN LAMBERT
Create Date 11/28/2005
Plan
Contractor OWNER
Fuel I 1 Gas
System n New
U Forced Air
I 1 Electric
Chimney Type r) Chimney A
Heat Loss ~roved
BTU Rate r) As Per Plan
Category 503 - STOVES AND FIREPLACES
I J Solar
1v'1 Solid
1 I Oil
1
I I Electric
n Replace
PI Other
U AlC 1
1 I Con. Bumer 1
( ) Not Applicable
U Vent
U Radiant
1 I HotWater
U Steam
1v'1 Suppl.
()DirectVent
. Chimney B
( ) Existing
( ) Variable
. Not Applicable
. Other
Value
Value
Use/Nature SFRf Installing a pellet stove as a supplemental heat source.
of Work
Fees: Valuation
$1,400.00
~
Plan Approval
$0.00
Permit Fee Paid
$26.00
Issued By:
Date 11/28/2005
D Permit Voided I
Parcelld # 0506970000
In the performance of this work, I agree to perform all work pursuant to rules govemlng the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perfonm 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 a ary approval efore starting ch acti .ty.
Signature >< / .
Date ~,/ - óìå-IJJ
Address
5206 STATE HIGHWAY 21
OMRO
WI 54963 -9315 Telephone Number
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.