HomeMy WebLinkAbout0123917-HVAC (ducts)
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OSHKOSH
ON THE WATER
Job Address 637 CEAPE AVE
CITY OF OSHKOSH
No
123917
HVAC PERMIT - APPLICATION AND RECORD
Owner KEVIN R DAWSON/JENNIFER D NEUMEIE
Create Date 03/23/2007
Contractor THOMPSON HEATING AND COOLING S
Fuel l!:J Gas UOil
System D New
l!:J Forced Air U Radiant
U Electric LJ Hot Water
Chimney Type I. Chimney A () Chimney B
Heat Loss r) As Approved . Existing
BTU Rate KJ As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
D Replace
U Steam
U Suppl.
() Direct Vent
l j Solar U Solid
D Other
U AlC U Vent
U Con. Burner
() Not Applicable
() Not Applicable
. Other
Value
Value
Use/Nature Duplex / Seperating apartments duct systems. Site electrician.
of Work
Fees: Valuation
$2,000.00
~
Plan Approval
$0.00
Permit Fee Paid
$40.00
Issued By:
Date 03/23/2007
D Permit Voided I
Parcelld # 0801040000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkos s no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this per It a ication within an eas ent, the City strongly urges the permit applicant to contact the easement
holder(s) and to efore starting such activity.
Date'd/z3/c7
Signature
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.
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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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OJHKOfH
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 doubJed or $100.00 plus the
normal permit fee, which ever is greater.
OR
I 'ou are a contractor artici atin in the Permit ee Account S stem and have ade uate unds check here
if yOU want this processed throuflh vour account n
JOB ADDRESS (~'3/ ~?~
. OWNER k!c-V-i$/'-J 2>~o rJ
. CONTRACTOR -rz/nv/AS (}/'--" ~ ~
DATE 3.hv~ 7
CHECK ItI' ALL APPLICABLE
USE CATEGORY
o Single Family ~uplex DMulti-Family
DRental
o Commercial
DIndustrial '.
FUEL ~g~s
DElectric DSolid
o Solar
SYSTEM
DNew /"-;; DReplace
~Other ~K/ST7/L.(')
TYPE
~rced Air o Radiant DSteam DAlC DVent DElectric OHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED 6tJ'No DYes -LINER SIZE & MANUFACTIJRER
Note: All chimneys shall be sized pe;ilie BTU's being vented.
CHIMNEY TYPE EJChimney A DChimney B DDirect Vent OOther
HEA TLOSS DAs Approved ~xisting DNot Applicable
BTURATE DAsPerPlan OVariable o Other Value
DESCRIPTION OF ALL WORK BEING DONE ~~4--h /\IE-; ,4/l-~c:~
'/A/if .+J7b-u4-.S /
VALUE
,$ 2v-r-D. e7Z7
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ELECTRICAL CONTRACTOR
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not app1icab~e, a separate Electrical Permit is required.
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