HomeMy WebLinkAbout0120690-HVAC (furnace)
e
OSHKOSH
ON THE WATER
Job Address 661 W 11TH AVE
CITY OF OSHKOSH
No
120690
HVAC PERMIT -APPLICATION AND RECORD
Owner DONALD NOE
Create Date 07/24/2006
Contractor PREMIUM AIR INC
Fuel l!J Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type . Chimney A C) Chimney B
Heat Loss . As Approved () Existing
BTU Rate . As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
C) Direct Vent
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
() Not Applicable
() Not Applicable
____ () Other
Use/Nature FR / REPLACE FURNACE, EIV PROVIDED BY PREMIUM AIR INC
of Work
Value
Value
I
J
Fees: Valuation
Issued By: ~(A)
$2,626.00
Plan Approval
$0.00
Permit Fee Paid
$50.50
Date 07/24/2006
o Permit Vo!~
Parcelld # 1303760000
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.
Signature
Date
Agent/Owner
Address
5165 GREEN VALLEY RD
OSHKOSH
WI 54904 - 9794 Telephone Number 920-982-3323
---
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.