HomeMy WebLinkAbout0122756-HVAC
e
OSHKOSH
ON THE WATER
Job Address 2021 MOUNT VERNON ST
CITY OF OSHKOSH
No
122756
HVAC PERMIT - APPLICATION AND RECORD
Owner PATRICIA A NOURSE
Create Date 10/19/2006
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
Plan
Contractor O'NEILL ENTERPRISES INC
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A C) Chimney B
Heat Loss . As Approved o Existing
BTU Rate K:) As Per Plan () Variable
U Solar U Solid
o Other
~ AlC ~ Vent
U Con. Burner
() Not Applicable
o Not Applicable
. Other
Value
45,000
Value
Use/Nature NSFR / New single family* with 2 car attached garage, 12' x 12' patio, 20 ' wide driveway.
of Work
.
Fees: Valuation $5,500.00
Issued By: ~LJ
Plan Approval
$0.00
Permit Fee Paid
$92.50
Date 12/01/2006
o Permit Voided I
Parcelld # 1515390000
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
522 W 6TH AVE
OSHKOSH
WI 54902 - 0
Telephone Number 428-4700
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.
:::12/01/2008 08:27 FAX 8202302008
::: City f "'"""
))ivi' oflllspection SeMces
", P.O. 1130
o , WI 54903-113<1
Pbo (~O) 236-5050
Fax (91 ) 236-5084
i
!
I
I
I '
. AIlPlicatian(8) and fee(s) can be brought to CiW ffiill, Room 205 or mailed to ln8pection Services, PO Box 1128,
OsDkosh WI 54903-112&. Commencing work without pcrmit(s) will JeSUIt in fees being doubted or $100.00 plus the
nodnaI permit fee, which, ever is greater.
I OR
fi= r:.;~tM:;~:;:~':~:f:,~~~: ~:c~:~~e Acco..t Sf.tem a::::it;' ~;Aeek hm
JOBADD~ ,~~f!1 1;UtL/
OWNER wn _{/ .' .
cONTRAcroa 0 J"tii21 EI2 tpJ/~ ./
o I NEILL
14J001/001
:;J
DEe 0 \ ~l\lQ6c[
~
O-ftj~g'H
HVAC PERMIT APPLICATION
All information ailer bold categories must be provided..
IncoIDplete applicau()tlII will not be proceSsed.
CHECK iJ ALL APPLICABLE
USE CATEGORY
,-.,. . {;iisiDgle Family ODuplex [JMulti-Family ClR.en1a1
ClCommelcial
DIndustrial
FUEL --,~as
COil
OElectric DSolid
[JSolm-
SYSTEM
~ew
OOther
OReplace
TYPE . ...J. A I ~,
'9torcedAir ORadiautOSteam ~C' ~ent CElectric DHotWater []Suwl DCoo.. Bumer
IS CBIMNEYBEINGLIN:ED~o []yes -LINERSIZE & MANUFACTURER
Note: An cbimDeys 8ba11 be sbed pet'the BTIJ's being vCntcd.
CBIMNEY TYPE DCbimney A DCbimney B :::E1:Pirect Vent Dacher
BEAT LOSS 1i:t:u Approved ClExisting , ONot Applicable ~ .
BTU RATECJAs J:ter Plan []Variable ~erValue 3@
DESCRIPDONOULLWOBKBElNGDOM! &mjiPfJl/J/if2 1m /Jtwf!wjo-
VALUE (latludbag labor aad ..........) $ :J..5{)Q
ELECTRICAL CONTRACTOR.
U For applicable projecl8, III Electric InsbtlI9ricm Veri1icati.on form.. signed by the Bledrica1 Coatractor, must be
attach~. If not attached or not applicable, a separate Electric:alPermit is required.
~, !
10/04