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OSHKOSH
ON THE WATER
Job Address 2796 MINERVA ST
CITY OF OSHKOSH
No
HVAC PERMIT - APPLICATION AND RECORD
Owner PAINE ART CENTER & ARBORETUM
Create Date
Contractor AMERICAN HEATING & A C CO
Fuel L,(J Gas UOil
System o New
~ Forced Air U Radiant I
I J Electric U Hot Water --1
Chimney Type D Chimney A () Chimney B
Heat Loss () As Approved () Existing
BTU Rate () As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
D Replace
U Steam
U Suppl.
. Direct Vent
I J Solar [}SOlid
D Other
U AlC U Vent
U Con. Burner
o Not Applicable
. Not Applicable
. Other
Value
Value
75,000
Use/Nature NSFRI New single family* single story with 2 car attached garage and 14' x 14' concrete patio. The driveway shall not exceed 24' wide at
of Work ~he front property line.
Issued By:
$5,000.00
e2/YJt.o
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$85.00
Date 12/27/2006
D Permit Voided I
Parcelld # 1230100000
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
WI 54902 - 0
Telephone Number 235-8090
Address
1129 MICHIGAN AVE
OSHKOSH
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
. A,>hkosh. WI 549OJ-1 J 30
( \one (<>20) 236-5050
,'ax (920) 236-S0R4
OJ!--iKOfH
ON THF WATFR
HVAC PERMIT APPLlCAflON
All information after bold clJegories mllst be provided.
Incomplete applications will not he processed.
.
;:'\
Application(s) and fee(s) can be brought to City IInl!. Room 205 or mailed to Inspection Services, PO~Qx tlf~,
Oshkosh WI 54903-1128. Commencing work without permit(s) will res~1t in fees heing doubled or $IOO.OO'plus
normal permit fee, which ever is greater.
OR
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lLJI..QJL !J1LiLS.2Jl.-' ,. a f.{QLR1l.U {GJpJ!.t in g_!!1..1b ~'...r ~ r mj Ll e..f.1.f..f.Q !ILI f . ,)'J'.,....Lf!J!u!!.uLJu1 \' e (Ul e q Ii a fer Ii 11 d s. c h e c k her e
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.JOB AD()RESS_.2.?9~_t1J(,.J 12f!v/l-
()WNER.__i22-!~_"') IJom-esu
CONTRACT()R......&~.CA. N._ . Iff. .__ . ___.
CHECK 0 ALL APPLICABLE
r'SE CATEGORY
~Singlc Family DDuplcx DMu1ti-Familv
"'~"E
f'
DEe 2 7 2006
DEPARTMENT OF
COMMUNITY DEVELOPMENT
ORcntal
DCommcrcial
o Industrial
FIIEL
~s
DOil
DElectric DSolid
DSolar
SYSTEM
~v
DOther
DReplace
'o/rE
IptForced Air DRadiant DSteam DNC' DVent DFlectric [Jllot Water DSuppl.DCon. Bumer
\~ ~
IS CHIMNEY BEING LINED )iNn DYes - LINER SI7.F___.d_ _____ & MANUFACTURER .1\ 0
Note: All chimneys shall be sized per the BTl "s bcin!,! vcntee!. ~ . ~\ '0 f ~ \\
CHIMNEY TYPE DChimney ^ DChimney B JA'birect Vent DOther \ \)l tt IT)
HEAT LOSS DAs Approved DExisting PrNot Applicahle . \
BTtl RATE DAs Per Plan DVariahle ~(~lher Value ___2t=']"P 6~~
DESCRIPTION OF ALL WORK BEING I>ONE~Jjd5tJ.... . /...,t/L.p-'9'(e ~".a t4le~.Idd
hfi- I../ew A ~p1~ cPiJ/lJS h
v AL{lE (Including lahor and all matrrials including light fixtures) $.-d.5;tJ:::lY-----.
f\
. J .ECTRICAL CONTRACTOR
OR r I Electric Install;ltllm Verification form attached(lfReplacement)
Ur('(li('nl illf(af!fII;oll of 1I(,l1'k.."ln('(' ('quipmen/ shalf be dOIll! by licensed cOlltrac/ors.