HomeMy WebLinkAbout0123580-HVAC
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OSHKOSH
ON THE WATER
Job Address 1655 CLlFFVIEW DR
CITY OF OSHKOSH
No
123580
HVAC PERMIT - APPLICATION AND RECORD
Owner DANIEL & LAURA FISER
Create Date 12/22/2006
Contractor BLACK-HAAK HEATING
Fuel ~ Gas UOil
System ~ New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type KJ Chimney A () Chimney B
Heat loss . As Approved C) Existing
BTU Rate :. As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
D Replace
U Steam
U Suppl.
. Direct Vent
U Solar [J Solid
D Other
U AlC [J Vent
U Con. Burner
C) Not Applicable
() Not Applicable
() Other
Value
Value
Use/Nature NSFRI New single family. 2 story with 3 car attached garage. 2 patios: 30' x12' and 18' x 18' and a 11' x 15' screen porch. Install heating
of Work system.
Fees: Valuation
$10,000.00
~
Plan Approval
$0.00
Permit Fee Paid
$160.00
Issued By:
Date 02/21/2007
D Permit Voided I
Parcel Id # 1524550000
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
PO BOX 3070
APPLETON
WI 54914 -70
Telephone Number 920-757-9990
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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
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ON TH~ WATF.R
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 S100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor lJarticiDatinrz in the Permit fee Account System and have adeQuate funds, <:heck here
if VOll want this orocessed throurzn your account n ~ \ \/1 \ ~ .
DATE~
-JOB ADDRESS
OWNER i actJB~S
CONTRA~ORJ2\a[.h -~I\.\~ ;:mQ.
CHECK lt1 ALL APPLICABLE
~~n~~~~~~Y Opuplex OMulti-Family
ORental
OCommercial
o Industrial
FUEL
2(Gas
DOil
DElectric DSolid
DSolar
SYSTEM
OReplace
~~ed Air DRadiant DSteam DAlC DVent DElectric DHot Water DSuppl. Deon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE & MANUF ACTURER_
N ate: All chimneys shall be sized per tlie BTU's being vented.
CHIMNEY TYPE DChimney A DChimney B ~irect Vent DOther
HEAT LOSS ~As Approved DExisting DNot Applicable
BTU RATE ~s Per Plan OVariable DOther Value
DESCRIPTION OF ALL WORK BEING DONE
Y\1AA? kln t1'lQ"
UuL
VALUE (Including labor .ndan materials includIng light fixtures) L \ {) \- D 00 .00
ELECTRICAL CONTRACTOR
o For applicable projects, an Electric Installation Verification form, si
attached. If not attached or not applicable, a separate Electrical Permit
~'O
J\ '} />fJ'I
JYt~
eBmust be
~ ILfC173
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FEB 2 1
DEPARTMENT OF
COMMUNITY DEVELOPMENT
9/02