HomeMy WebLinkAbout0122952-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1337 GRAND ST
CITY OF OSHKOSH
No
122952
HVAC PERMIT -APPLICATION AND RECORD
Owner KIMBERLY F JONES
Create Date 12/19/2006
Contractor VALENTINE PLUMBING & HTG INC
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type o Chimney A o Chimney B
Heat Loss . As Approved C) Existing
BTU Rate () As Per Plan o Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
e Direct Vent
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
o Not Applicable
~
I
I
o Not Applicable
e Other
Use/Nature :;FR / REPLACE GAS FURNACE AND INSTALL CHIMNEY LINER
of Work
Value
Value
";
Fees: Valuation $1,960.00
Issued By: ~U!
Plan Approval
$0.00
Permit Fee Paid
$40.00
Date 12/19/2006
o Permit Voided I
Parcelld # 1506300000
I,n 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.
Signatl,lre
Date
Agent/Owner
Address
W2015 INDUSTRIAL DR
KAUKAUNA
WI 54130 -7517 Telephone Number (920) 788-5369
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.
Dec. 14. 2006 9:41AM
inspection services
No. 0327 P. 4
f'.
"
City of Oshkosh
~..:xo.:t'.~. ~. "ta 2....
9iiflE lVE D
DEe 1 9 2006 HVAC PERMIT APPLICATION
All information afta bold categories must be provided.
D EP ARTM ENT 0 F IneQmplete applications will not be processed.
· ~~a\:ld)Q{~a+lght to.City Hall, Room 205 or ma~led to Inspection 8ervicest PO Box .1128,
Oshkosh WI 54903-1128. Commencing wotlk: without permit(s) will result in fees being doubJea or $100.00 plus the
nonna! permit fee, which ever is greater,
OR
lLv'ou are Q contractOr lJarticiRatint lit th~ Permit (ef! Account System and have. adeqt.tate.f'Mnds. check here
if lIOU want this 'processed throuyh vour account 0 '
<.t.,-:.
~..Q..cL ~ 0 , ae
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O1F-KOJR
ON THE WATER
JOB ADDRESS \ ~~ r-t ~"t\t\1rl ~ ~-t. ,
'OWNER ' ')<,~ :s- (N"'o~ 9-
co~croR--1n~\__"'\c'I"''''.~- !~l"~- ~ ~~
CHECK la ALL APPLICABLE
USE CATEGORY
J(Single Family DDnplex ClMulti-Family
DATEJra. ~ O(p
(\
DRental
OComtnercial
I
DIndustrial '
Fm:L )(Gas
[Jon
DElectric DSolid
ClSolar
SYSTl:M
ClNew
lJOther
~eplace
TYPE
~orced Air DRadiant DSteam ONe OVent DElectric
'f
IS CHIMNEy BEING LIm:n CJNo ~es- UNER SIZE-.B
Note; AU cbimneys shall be sized per the BTU's being vented.
D!lot Water DSuppl. ClCon. Burner
& MANUFACI1JRER.~-=-1~
CHIMNEY TYPE [JChinmey A DChinmey.B
;BEAT LOSS }SAs Approved ClExisting
BTU RATE ~ SS ~~~er Plan ,., ,. ,DVariable
DESCRIPTION OF ALL WORK BEING DONE__
I
~irect Vent
DNot Applicable
OOther Value
OOther
?-~:"--.~ ~~-
VALUE
$ \.~ lll~ .og,
ELECTRICAL CONTRActOR i
.0 For applicable projects, an Electric Installation Verification f~signed by the Electrioal Contractor,
attached.. Ifnot attached or Dot applicable, a separate Electrical Permit is required.
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