HomeMy WebLinkAbout0123306-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 635 CEAPE AVE
CITY OF OSHKOSH
No
123306
HVAC PERMIT -APPLICATION AND RECORD
Owner KEVIN R DAWSON/JENNIFER D NEUMEIE
Create Date 01/25/2007
Contractor THOMPSON HEATING AND COOLING S Category 500 - Residential-Heating & Ventilating Plan
Fuel ~ Gas UOil U Electric U Solar ~ U Solid
System o New o Replace QQ!!1er
l.!'J Forced Air U Radiant U Steam U AlC O-Vent
U Electric U Hot Water U Suppl. U Con. Burner
Chimney Type o Chimney A () Chimney B . Direct Vent () Not Applicable
Heat Loss [) As Approved () Existing . Not Applicable Value
--
BTU Rate KJ As Per Plan () Variable . Other Value 60,000 each
-~--
Use/Nature DUPLEX / REPLACE 2 FURNACES AND RE-CONNECT TO DUCTWORK / ONE FOR EACH UNIT
of Work
Fees: Valuation $3,600.00
Issued By: ~ ~j
Plan Approval
$0.00
Permit Fee Paid
$64.00
Date 01/25/2007
o Permit Voided I
Parcelld # 0801050000
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 pe ppr tion within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to s y. necessary ppro s fore starting such activity.
Signature
Date
//z~~ 7
Address
901 OTTER
OSHKOSH
WI 54901 - 0
Telephone Number 920-426-3095
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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920)236-5050
Fax (920) 236-5084
(f)
OfHKOfH
ON THE WATER
HVAC PERMIT APPLICATION
All infonnation after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If v.ou are a contractor Darticipatinf! in the Permit fee Account Svstem and have adequate funds. check here
if vou want this Drocessed throuf!h vour account n .
DATE
-1t/7- 'S /07
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OWNER k'~v {l-J Df'r'fA)\!J /'--1
. CONTRACTOR jl:fnv<rp So7J.--.!&.~17 ~
JOB ADDRESS
CHECK li:'I ALL APPLICABLE
USE CATEGORY
DSingle Family ~DuPlex DMulti-Family
DRental
o Commercial
DIndustrial .
FUEL
~Gas
o Oil
DE1ectric DSolid
o Solar
SYSTEM
DNew
DOther
OOReplace
TYPE
~ForcedAir DRadiant DSteam DAlC DVent DElectric OHotWater DSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~No DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE DChimney A DChirnney B !)\Direct Vent
HEA TLOSS J&As Approved DExisting DNot Applicable
BTU RATE DAs Per Plan DVariable t'ilQther Value
DESCRIPTION OF ALL WORK BEING DO~ {;/U-14-G~
DOther
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VALUE
ELECTRICAL CONTRACTOR "--~~ ~.s..--c~-1_~. 4~
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.
9/02