HomeMy WebLinkAbout0124676-HVAC
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OSHKOSH
ON THE WATER
Job Address 2301 HARRISON ST
CITY OF OSHKOSH
No
124676
HVAC PERMIT -APPLICATION AND RECORD
Owner SUSAN K REQUE
Create Date 04/19/2007
Contractor ALL SEASONS QUALITY HTG & CLG
Fuel U Gas UOil
System o New
~ Forced Air U Radiant
U EleCtric' U Hot Water
Chimney Type U Chimney A () Chimney B
Heat Loss IU As Approved o Existing
BTU Rate () As Per Plan o Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
o Direct Vent
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature ISFRI Remodeling the kitchen, bathroom, and dining room" All three rooms will be relocated to provide an open concept floor plan.
of Work 'Relocate heat runs for remodel.
Fees: Valuation $1,500.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$32.50
Date 05/08/2007
o Permit Voided I
Parcelld # 1517750000
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 secur necessa provals before starting such activity.
Agent/Owner
Date ~~ICf
Signature
Address
7394 LIBERTY SCHOOL ROAD
OMRO
WI 54963 - 9623 Telephone Number 920-426-8090 or 68~
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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
cOlltinue 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
~
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 doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If v'ou are a contractor particivatin!! in the Permit fee Account System and have adequate funds. check here
if vou want this processed through your account n ' ,
DATE lJl~ lto"'")
JOB ADDRESS 2 Su \ ~ Sf-,
'OWNER ~ 1Le.~
'CONTRACTOR A-U. ~K~~"~ q\:.1AL~<"j"i \MC.i' C.LC
CHECK It[ ALL APPLICABLE
~CATEGORY
gle Family DD~plex DMulti-Family
DRental
o Commercial
DIndustrial "
FUEL
o Gas
DOi!
DElectric DSolid
o Solar
SYSTEM
DNew
DOther
DReplace
TYPE
~rced Air DRadiant DSteam DAlC DVent DElectric DHot Water OSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BnJ's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
OChimney B
DExisting
DVariable
DDirect Vent DOther
DNot Applicable
DOther Value
I)ESCRIPTION OF ALL WORK BEING DONE
it-.
Wz~ ~~ t ~-M
VALUE
.$ L~C::.,~
ELECTRICAL CONTRACTOR
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicabl.e, a separate Electrical Permit is required.
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