HomeMy WebLinkAbout0124494-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 410 E LINCOLN AVE
CITY OF OSHKOSH
No 124494
HVAC PERMIT - APPLICATION AND RECORD
Owner THOMAS/CYNTHIA DEVOE
Create Date 04/30/2007
Contractor CUSTOM HEATING & COOLING
Fuel l!:J Gas UOil
System o New
l!:J Forced Air U Radiant
U Electric ...U . Hot Water
Chimney Type D Chimney A C) Chimney B
Heat Loss D As Approved C) Existing
BTU Rate KJ As Per Plan D Variable
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
Plan
U Solar
I
I
U AlC I
U Con. Burner I
U Solid
o Other
U Vent
. Direct Vent () Not Applicable
. Not Applicable Value
. Other Value
Use/Nature SFR / Replace furnace and install AlC and limited ductwork. Install 3" chimney liner. My Electric will do electrical work.
of Work
$5,500.00
~
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$92.50
Issued By:
Date 04/30/2007
o Permit Voided I
Parcelld # 1004010000
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
1503 SOUTH MAIN STREET
OSHKOSH
WI 54902 - 0
Telephone Number (920) 235-7263
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 ·
~osh. VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OJH<OJH
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories nwst 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 pennit(s) will result in fees being doubled or $100.00 plus the
nonnal pennit fee, which ever is greater. \
OR )
If vou are a contractor participating in the P~rmit fee Account stem and hay
if-you want this pr()cess~d through your account n
JOBADDRESS'lltJ E ~~
OWNER "//1- Ale V0-6
CONTRACfOR C!od- 9f'~V if
CHECK lit ALL APPUCABLE
~~ CATEGORY
~gle Family DDuplex OMulti-Family
DRental
OCommercial
o Industrial
FUEL
~s
DOn
DElectnc OSolid
DSolar
SYSTEM
ONew
DOther
~lace
TYPE
~orced Air ORadiant DSteam DAle DVent DElectric
n/'/
IS CHIMNEY BEING LINED DNo ~es - LINER SIZE ~
Note: All chitnneys shall be sized per the BTU's being vented.
OHot Water DSuppl DCon. Burner
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimneyA
OAs Approved
DAs Per Plan
OChimney B "~.Direct Vent OOther
OExisting ONot Applicable
OVariable OOtherValue
N OF ALL WORK BEIN~ DONE
, ~ &)~
~ ~ ,/?~
VALUE
ELECI1UCAL CONTRAL"TOR /j?f
o For applicable projects, an Ele~tril
attached. If not attached or not appli
$ 55t1O
L:fV'._ " --f-:-- /.!JP.
C~~
c.{-i q tf
lJ
llation Verification fonn, signed by the Electrical Contractor, must be
e, a separate Electrical Permit is required.
9~5o
9/02