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o
OSHKOSH
ON THE WATER
Job Address 25 WAUGOO AVE
CITY OF OSHKOSH
No
123384
HVAC PERMIT -APPLICATION AND RECORD
Owner JACOPA INC
Create Date 02/01/2007
Contractor NAU HEATING AND COOLING llC
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric 'U Hot Water
Chimney Type U Chimney A C) Chimney B
Heat loss U As Approved () Existing
BTU Rate [) As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
D Replace
U Steam
U Suppl.
. Direct Vent
U Solar U Solid
D Other
U NC U Vent
L I Con. Burner
() Not Applicable
. Not Applicable
. Other
Value
Value
45,000
Use/Nature ~OMM (UPPER RESIDENTIAL) /INSTAll NEW FURNACE
of Work
Fees: Valuation $3,800.00
Issued By: ~W
Plan Approval
$0.00
Permit Fee Paid
$67.00
Date 02/01/2007
D Permit Voided I
Parcelld # 0200160000
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 secur ny ne ssary approvals before starting such activity.
Signature
Ol.-.
Agent/Owner
Date .:2/110)
f' t
Address
1420 PHEASANT CREEK DR
OSHKOSH
WI 54904 -7452 Telephone Number (920) 231-6363
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
Oshkosh, WI 54903-1130
Phone (920)236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THE WATER
HVAC PERMIT APPLICATION
All information 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 ~iled to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If v'ou are a contractor Darticipatinf! in the Permit fee Account System and have adequate funds. check here
if yOU want this processed throu,?h your account n . .
DATE ;)/1/0)
LLc.,
DRental
I ' le0--n ~\
.1 re) d)
('Y\l i {JJ
~mmercia1 Dlndustrial .
SYSTEM
'BNew
DOther
DReplace
TYPE
~Forced Air DRadiant DSteam DAlC DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINEDElNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
. & MANUFACTIJRER
CIiIMNEY TYPE
BEAT LOSS
BTU RATE
o Chimney A
DAs Approved
DAs Per Plan
DChimney B
DExisting
DVariable
krDirect Vent DOther
DNot Applicable
o Other Value '7s j 000 B1'V
.
DESCRIPTION OF ALL WORK BEING DONE
.$ :$ 00 () . o~
VALUE
ELECTRICAL CONTRACTOR
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicab~e, a separate Electrical Permit is required.
9/02