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G
OSHKOSH
ON THE WATER
Job Address 365 LILAC ST
CITY OF OSHKOSH
No
HVAC PERMIT -APPLICATION AND RECORD
Owner DEWEY HOMES INC
Create Date
Contractor AMERICAN HEATING & A C CO
Fuel ~ Gas IJ Oil
System ~ New
~ Forced Air U Radiant
U Electric [JHOfWater
Chimney Type D Chimney A () Chimney B
Heat Loss D As Approved () Existing
BTU Rate KJ As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar
U Electric
D Replace
U Steam
U Suppl.
. Direct Vent
U AlC
U Con. Burner
() Not Applicable
U Solid
D Other
U Vent
. Not Applicable
. Other
Value
Value
75,000
Use/Nature NSFRI New single family' with 2 car attached garage and 12' x 14' patio. The driveway shall not exceed 22' wide at the front property line.
of Work
Issued By:
$5,000.00
t2~
Plan Approval
$0.00
Permit Fee Paid
$85.00
Fees: Valuation
Date 12/27/2006
D Permit Voided I
Parcelld # 0611630300
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
1129 MICHIGAN AVE
OSHKOSH
WI 54902 - 0
Telephone Number 235-8090
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 I 130
r~hkosh, WI 54903-1130
one (Q20) 236-5050
1'3)( (920) 236-5084
I
Off-KQfH
ON THF W^TFR .
HVAC PERMIT APPLICA110N
All information after bold cllegories must be provided,
Incomplete applications will not he processed.
.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailep to Inspection Services, PO Box J17~,
Oshkosh WI 54903-1128. Commencing work without permit{s) will result in fees heing doubled or $100.00'plus
normal permit fee, which ever is greater.
OR
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.JOB ADDRF.SS.-26~_.._?I?Jffe
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C(}NTRACT()R.~~Ch#. .4"'
CHF.CK 0 ALL APPLICABLE
E"'"
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EI
r'5E CATEGORY
~<;inglc Family DDuplcx DMulti-ramilv
ORcntal
DEe 2 7 2006
. DEPARTMENT OF
01 C COfVl~MUNI"DIlnfyg:-tl.01!'i\.~I'EIi\.!T
ommercla U i't'cruS~ Fra' Iv ill
FIIEL
~Jas
OOil
OElectric OSolid
OSolar
SYSTEM
~ew
OOther
OReplace
TYPE
;Q.:orced Air ORadiant OSteam DAlC OVenl OF1ectnc Ollot Water DSuppl.OCon Bumcr
IS CHIMNEY BEING LINED ~() DYes - LINER SI7.1;___._.n._n_._ & MANUFACTURER
Note: ^ 11 chimneys shall be sized per the BTt r's being vented. 1
to (P
~tiZ,O
I 11]
CHIMNEY TYPE OChimney ^ OChimney B l)Jt)irect Vent OOther I
HEAT LOSS OAs Approved DExisting ~()t Applicahle
BTlI RA TF. OAs Per Plan OVariahle ~~ther Value -_2".s;P,", &:.Lh/.!!tJ4/e
DESCRIPTION OF ALL WORK HEING D{)NF._j~.s~ ;1 .~~wJ~~ ~ c/ut:1 Ja</L-
;<I ew h (} /i?e /l D{..J c)
VALIIF. (Including lahor and alllllatrrials inc!tHling light fixtllrr~) $.-..5: tJcJ..o_________
I
r),F.CTRI('AL CONTRACTOR OR ! I Electric In~tallltion Verification form attached(lfReplllCemenl)
. -- --...-.-.------.-.- --;;;;"1';('(71 in.Hallnrinn ol ne'w/replncement ~qf(ipment shnll be done by licensl'd COnlrac[(!;-.r.
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