HomeMy WebLinkAbout0124812-HVAC
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OSHKOSH
ON THE WATER
Job Address 935 LINDEN OAKS DR
CITY OF OSHKOSH
No
124812
HV AC PERMIT - APPLICATION AND RECORD
Owner JENNIFER A SYKORA
Create Date 04/13/2007
Category 502 - Residential-Both
LJ Electric
IJ Replace
U Steam
U Suppl.
. Direct Vent
Plan
Contractor BREWER HEATING
Fuel l.{J Gas IJ Oil
System RJ New
l.{J Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss () As Approved C) Existing
BTU Rate C) As Per Plan ( ) Variable
U Solar I J Solid
o Other
l.{J NC U Vent
U Con. Burner
o Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature NSFRI LATE PERMIT/1 Story home with a three car attached garage, 10'x20' rear patio. *NOTE: Waived the late fee due to the contractor
of Work hinking this job was in the Town of Algoma. **debt acct
F'''''' V"U.t1~6,400.00
Issued By:
Plan Approval
$0.00
Permit Fee Paid
$106.00
Date 05/16/2007
o Permit Voided I
Parcelld # 1344110000
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
N8804 N DOUGLAS ST
RIPON
WI 54971 - 0
Telephone Number 920-748-6494866-8C
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.
~07_05-16 10:23
~.lly of 05h.kosh
Division of]nspccliQP Services
1'0. Box 1130
O~,hkosh, WI S4903-1130
j\!l(mt (920) 23().)050
1(:'; ~nO) 2.36-50l:>4
BREWER
9207486520 >>
19202365084
P 1/ 1
~
....,......~
OJI-IKOl\-\
ON THF WAH.k
HV AC PERMIT APPLICATION
All infom13tion after bold categories must be provided.
Incomple\e applications will not be processed.
. App\ica1ion(~) and fcc(s) can be hrought 10 Cit)' Ha11, Room 205 or mailed to Inspection S~rvices, PO Box lUg,
O:;M:o:>h Wi 5~?03-~ 128. C:tJm;ncnc:n~.; work Wll}-.out pcr:T.;I(S) will result in fees being doubled or $\00.00 plus the
n<,rm:.l) pf.:rmit fec, whieh ever is t',r~:l:t.:L
OR
'(,;'",--,=~" '-' c zv- "0"'; ceO ," i" J' ~'_" '""tlt' A' co,,", $1'''' no on <1 h gvo oJ" ,," 1<.-''' ,d,. <he<k /JJTI.
iJ. ,it, U WI] tl t !..h..i.u!.I.()c<: S s ~d f h rOJ~JI'" 0 (:(Jl un;
DATE .5" "/6 '07
JOB ADDRESS 9.35" i-..JJ?/JRr tJ ~ ~
OWNF,R~Ii5~ mY?'ll~
CONTRACTOR 81'~ f.fcr!c.J;Yt6.];hr
CHECK. 0 ALL APfL1CA.BLE
1.1SE CATEGORY
~ingle Family ODuplex OMulti-Fami\y
ORental
o Commercial
o lndustrial
FUEL
caas
TIOil
OElectric DSolid
DSolar
SYSTEM
DNew
OQther
OReplace
---
TYPE
Jaforced Air o Radian! DSteam,.-C OVen! DElce",< DRo! W.tel' DSuppl. DCon. Burne'
IS cIIIMNEY BEING LINED ONo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vcnted.
& MANUFACTURER
cmMNEY Tfl>E
lIEA T LOSS
nTURATE
OChimney A
DAs Approved
DAs Per Plan
DChimncy 13 rfIDirect Vent DOther
OExisling ONot Applicable
OVariable DOther Valu~
DESCRJ.PTION OF ALL WORK BEING DONE ;11'1/(...
-------
VALUE
.~ 67f;p'"
f-
ELECTRICAL CONTl~ACTOR
o For ~pr,li('.:;\hle-. projects. an Electric Installation Verif1c<ltion fom1, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Pel111it is required.. I-
vJfj' -----r1.-""<. M -,-1-'''' H. "~ "","s ,. h '---f1--'- --{-vw.... I> / 1!JDfI"'I, - So i
:- L , l:;(t -I--.'J h-' dtJt4~?1 /!3 ~f,."v,<.~.. ~ .
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