HomeMy WebLinkAbout0117939 H
e
OSHKOSH
ON THE WATER
Job Address 25 JACOB AVE
CITY OF OSHKOSH
No
117939
HVAC PERMIT . APPLICATION AND RECORD
Owner
GREG DOBBERKE
Create Date 10/0712005
Plan
Contractor BLACK-HMK HEATING
1"1 Gas 1 I Oil
Fuel
System [7] New ---1
Lv'! Forced Air U Radiant
1 I Electric 1 1 Hot Water
Chimney Type K) Chimney A e ) Chimney B
Heat Loss . As Approved e ) Existing
BTU Rate . As Per Plan e ) Variable
Cate90ry 502 - Residential-Both
1"1 Electric
1 I Solar
I 1 Solid
1 I Suppl.
e DirectVent
n Other
Lv'! PJC I U Vent
1 1 Con. Burner I
e ) Not Applicable
n Replace
U Steam
e ) Not Applicable
e ) Other
Value
Value
Use/Nature NSFRI HVAC for New single family residence wi attached garage
ofWork
$5,200.00
Plan Approval
$0.00
Permit Fee Paid
$83.00
Fees: Valuation
Issued By:
Date 01/20/2006
D Pennit Voided I
Parcelld # 1416581500
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 pennit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
PO BOX 3070
APPLETON
WI 54914 - 70
Telephone Number
920-757-9990
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.