HomeMy WebLinkAbout0120375-Building (chimney)
~~~
OSHKOSH
ON THE WATER
Job Address 342 W 12TH AVE
CITY OF OSHKOSH No 120375
BUILDING PERMIT - APPLICATION AND RECORD
Owner SCOTT W SMOGOLESKI Create Date 07/05/2006
Designer
Contractor ACE CHIMNEY SERVICE
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement
Sq.Ft.
Sq.Ft.
Sq. Ft.
Rooms
Height
Ft.
o Projection I
Canopies
Finished/Living
Bedrooms
Stories
Signs
Garage
Baths
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit
Flood Plain
Height Permit
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature I-FRI Installing a chimney liner and block windows in basement" The existing chimney will be torn down to the roof line. No structural
of Work Mlork is being done to the foundation.
Plumbing Contractor
HV AC Contractor
Electric Contractor
$3,150.00 Plan Approval
$0.00 Permit Fee Paid
$46.00 Park Dedication
$0.00
Fees: Valuation
Issued By:
~
Date 07/05/2006
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 0903770000
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 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.
. t:'~..---7 /--::;.:~.--:~~ _-
Signature ~ / // ..-::~-~ _.........:.......---.--.. Date -'<'
r
Address
P.O. BOX 1946
Agent/Owner
Oshkosh
WI 54903 - 0000
Telephone Number
920-231-5880
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.
"'"
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If y'ou are a contractor participating in the Permit fee Account System and have adequate funds. check here
if you want this processed through your account n .
DATE 7.- 5' ,-C7',(,
JOB ADDRESS 3 Lf~).. ,""'. I ~ '?4 .A - e
~
OWNER~C:;6 "iT .5-p....(J:;o/~ 5 k ,\
CONTRACTOR Ac Q C.t,,' ~ V\ p..;:../ 5€'. r V' ,'e ~
/
CHECK m ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex DMulti-Family
DRental
DCommercial
DIndustrial '
FUEL
OOas
DOil
DElectric DSolid
o Solar
SYSTEM
DNew
~ther
DReplace
TYPE
~orced Air DRadiant OSteam DAlC DVent OElectric
//
IS CHIMNEY BEING LINED DNo OiYes - LINER SIZE S-
Note: All chimneys shall be sized per the BTU's being vented.
OHot Water QSuppl. DCon. Burner
& MANUFAC~A 'f.,. t... oV"
"
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
DChimney B
DExisting
o Variable
lBDirect Vent DOther
liru'ot Applicable
DOtherValue /~', cJ-OC' pit. $ . CC>h.b,'"H(
,
DESCRIPTION OF ALL WORK BEING DONE
tJ-o/'~' -I~- .
VALUE
,$ 57 .5-0, Q. a..-
ELECTRICAL CONTRACTOR
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02