HomeMy WebLinkAbout0124359-HVAC (furnaces)
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OSHKOSH
ON THE WATER
Job Address 3454 JACKSON ST
CITY OF OSHKOSH
No
124359
HVAC PERMIT -APPLICATION AND RECORD
Owner SALOMON PROPERTIES LLC
Create Date 04/23/2007
Contractor ANDERSON HVAC LLC
Fuel ~ Gas UOil
System ~ New
l!:) Forced Air U Radiant
U Electric U Hot Water
Chimney Type o Chimney A . Chimney B
Heat Loss I. As Approved o Existing
BTU Rate . As Per Plan () Variable
Category 510 -Ind. & Comm-Heating & Ventilating Plan
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
() Not Applicable
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
() Not Applicable
() Other
Value
Value
Use/Nature COMM /Inspect existing furnaces and insure proper installation. Furnaces installed by others.
of Work
~
() D ~f
I (
Fees: Valuation
$4,500.00
~~
Plan Approval
$0.00
Permit Fee Paid
$77.50
Date 04/23/2007
Issued By:
o Permit Voided I
Parcelld # 1519603900
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 ecure necessa appr Is before starting such activity.
Date
Y^L~ -~<J
Signature
Agent/Owner
Address
3454 JACKSON ST STE C
OSHKOSH
WI 54901 - 8143 Telephone Number 920-410-8858
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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
~
OfHKOfH
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
JOB ADDRESS 3 Lj :;:- c.r J At.- D'~,...... .s. -k . U\ tv; }-
. OWNER_N 0 (' M Sa.. \ 0 f'V> o~
'CONTRACTOR (.\..,.., ~ u:- s..o.- \-\ " \4 '-
CHECK ltJ ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex DMulti-Family
DRental
~mmercial
OIndustrial .
FUEL
~s
o Oil
OElectric OSolid
o Solar
SYSTEM
~w
DOther
OReplace
~ed Air
DRadiant
DSteam ONC OVent
DElectric
OHot Water OSuppl. DCon. Burner
IS CHIMNEY BEING LINED ONo DYes - LINER SIZE
Note: All chiinneys shall be sized per the BTU's being vented.
cIiIMNEy TYPE DQrimney A ~mney B
REA T LOSS [!3"~ Approved OExisting
BTU RATE m.s Per Plan OVariable
& MANUFACTURER
DDirect Vent DOther
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE ~n~f'c cf. eX /~~\....,s
O'r\! \V\~U\(l: ~('p(7(r (r').s:+~"O\i-..'o-J... F,,,rv-JC<.L-.- \
\0 "1 C> ~ \"'"~ r oS .
+u.. f /IV &... <-C .s
\^~4.-"V\()
VALUE
~
.$ Lj'!;.DQ ~ r--ISooretl
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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 applicab~e, a separate Electrical Permit is required.
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