HomeMy WebLinkAbout0123332-HVAC (chimney)
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OSHKOSH
ON THE WATER
Job Address 814 W 11THAVE
CITY OF OSHKOSH
No
123332
HV AC PERMIT - APPLICATION AND RECORD
Owner TIMOTHY R SCHUELER
Create Date 01/26/2007
Contractor ACE CHIMNEY SERVICE
Fuel l!J Gas UOil
System o New
~ Forced Air -l U Radiant
U Electric I U Hot Water
Chimney Type () Chimney A C) Chimney B
Heat Loss D As Approved () Existing
BTU Rate KJ As Per Plan o Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
() Not Applicable
. Not Applicable
. Other
Use/Nature SFR / TEAR DOWN CHIMNEY TO ROOF-LINE, REBUILD, FLASH, COUNTER-FLASH AND LINE
of Work
Value.
Value
103,000
Issued By:
Plan Approval
$0.00
Permit Fee Paid
$32,50
Date 01/26/2007
o Permit Voided I
Parcelld # 1303070000
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 sec~!!?.~9Y necessary appro als before starting such activity.
~/~/' :/ } .)/' 0
Signature ,.,..' // , /" Date I "::-.>(b ~ . 7
Agent/Owner
Address
PO BOX 1946
OSHKOSH
WI 54903 -1946 Telephone Number (920) 279-0197
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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 specifiEld 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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OJHKOfH
ON THE WATER
HVAC PERMIT APPLICATION
All infonnation after bold categories mustbe provided.
Incomplete applications will not be processed.
JOB ADDRESS <3 Ii w. 11Ib.. ,4 Ve:
OWNER CO ....-f( ~j ~ I^ +. '0 VOl I/(JI fA 5 /~/ 5(! r l/ I 'c E- ')
. CONTRACTOR A- C f!- Ch. 'J;'r.. h e-.v <; ~rV I \ c-~
( -
CHECK la ALL APPLICABLE
USE CATEGORY
laSingle Family ODuplex OMulti-Family
ORental
OCommercial
OIndustrial '
FUEL
~Gas
DOil
DElectric DSolid
o Solar
SYSTEM
DNew
DOther
DReplace
TYPE
~orcedAir DRadiant DSteam DNC DVent DElectric DHotWater OSuppL DCon. Burner
1'1" f "i""/ ..-l '
IS CHIMNEY BEING LINED DNoaYes - LINER SIZE 'f.).-o ;l,7 & MANUFACTURERr/~X'"..a II .r v.7e11 b.. II,,::
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
DChinmey B
DExisting
DVariable
r8Direct Vent DOther
OlNot Applicable
I&>therValue /d ? 0 0- 0 g It-, 5,
I
VALUE
.$ (~OO. 00
ELECTRICAL CONTRACTOR
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
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