HomeMy WebLinkAbout0124177-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1005 W BENT AVE
CITY OF OSHKOSH
No
124177
HVAC PERMIT - APPLICATION AND RECORD
Owner JENNIFER SEIBOLD
U Solar
Create Date 04/11/2007
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Plan
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Contractor MARK WEBER HEATING & COOLING IN
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U HotWater
Chimney Type o Chimney A () Chimney B
Heat Loss () As Approved C) Existing
BTU Rate KJ As Per Plan o Variable
Category 500 - Residential-Heating & Ventilating
U Electric
~ Replace
U Steam
U Suppl.
. Direct Vent
U Solid
U AlC
U Con. Burner
o Not Applicable
o Other
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, U Vent
. Not Applicable
. Other
Value
Value
Use/Nature pFR / Replace fumace & ducts. EIV provided by Electrical Construction Services. 'DEBIT ACCT'..
of Work
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Fees: Valuation
$1,700.00
~
Plan Approval
$0.00
Permit Fee Paid
$35.50
Issued By:
Date 04/11/2007
D Permit Voided I
,~arcel Id # 1207940000
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 'York
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
i
.
Agent/Owner
Address
1075 ISLAND ESTATE CT
OSHKOSH
WI 54901-0
Telephone Number 235-1523
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), yoJr Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is rec~ived. 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 1130'7t''-
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OlHKOfH
"ON THE WATER
HVAC PERMIT A~PLICATION
AU information after bold categories must be provided.
Incomplete applications wiII not be processed.
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· Application(s) and fee(s) can be bi:91lght to City Hall, Roqm 205 or mailed to Inspection Sertices, PO Box 1128,
Oshkosh WI 54903-1128. C2.ficing work witllout pennit(s) will result in fees being doubled or $100.00plus the
normal permit fee, which ~v<!tlis'~eater. ". , I
OR i.': ." . I
I ee Account S stem and have ade uate check here
JOB ADDRESS ,//Jt1S IJ &o.iF
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OWNER 4..~O'jd NOL'TF"
"CONTRACTO"~;4y)K' ~ ~T7..
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DATE '/ /;pjo ?
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CHECK It1 ALL APPLICABLE
USE CATEGORY
,~ingle Family ODuplex DMulti-Family
,\
ORental
o Commercial
OIndustrial "
FUEL
$Gas
DOil
DElectric DSolid
o Solar
SYSTEM
DNew
DOther
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,
;.iReplace
TYPE
J4!:'orced Air DRadiant OSteam DAlC DVent o Electric
IS CHIMNEY BEING LINED.,gINo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
OHot Water OSuppl. DCon. Burner
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& MANUFACTURE~
CIDMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
DChimney B )(lnirect Vent DOther
o Existing DNot Applicable
o Variable o Other Value
DESCRIPTIONOFALLWORKBEINGDONE ~J hP1AJ~' Y-tJld?T5
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VALUE .$ /JOO.OtJ r/
ELECTRICAL CONTRACTOR ezJ-. ~ ~ Dftr,/I <(
o For applicable projects, an Electric Installation Verification fo~, signed by the Electtical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required. I
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