HomeMy WebLinkAbout0124836-HVAC
e
OSHKOSH
ON THE WATER
Job Address 864 KEENVILLE LN
CITY OF OSHKOSH
No
124836
HVAC PERMIT - APPLICATION AND RECORD
Owner HUISMAN HOMES LLC
Create Date 04/04/2007
Category 502 - Residential-Both
I J Electric
n Replace
U Steam
U Suppl.
Plan
Contractor THOMPSON HEATING AND COOLING S
Fuel l,;j Gas UOil
System ~ New
~ Forced Air U Radiant
I Electric I J Hot Water
Chimney Type Chimney A Chimney B
Heat Loss . As Approved () Existing
BTU Rate K:) As Per Plan C) Variable
J Solar U Solid
o Other
~ AlC U Vent
I J Con. Burner
Direct Vent Not Applicable
C) Not Applicable Value
. Other
Value
50,000
Use/Nature NSFRI New single family 1 story* 3 car attached garage. NO DECK OR PATIO.
of Work
Issued By:
$6,400.00
~
Plan Approval
$0.00
Permit Fee Paid
$106.00
Fees: Valuation
Date 05/17/2007
o Permit Voided I
Parcelld # 1550010300
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh s no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this pe ication within an ease he City strongly urges the permit applicant to contact the easement
holder(s) and t cure an cessary aQ ova b r starting such activity.
~
Signature
Date
~/;lc7
Address 901 OTTER
OSHKOSH
WI 54901 - 0
Telephone Number 920-426-3095
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Ilnspection (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
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~
OJHKOfH
'ON THE WATER
· 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 doub~ed or $100.00 plus the
normal permit fee, which ever is greater.
OR
I au are a contractor artici atin in the Permi~ ee Account S stem and have ade uate unds check here
ifvou want this vrocessed throuf!h your account U .
.' .'. DATE 5;/7,47
JOBADDRESS i61 ~UF ~
OWl'mR !kstt~ I ~-'5
'CONTRACTOR'~ .'~ Jo~ '/4~17/?&tq
CHECK ItI ALL APPLICABLE
USE CATEGORY
ritsingle Family ODuplex OMulti-Family
DRental
o Commercial
Ofudustrial .
FUEL
ttfGas
DOi!
DElectric OSolid
o Solar
SYSTEM
,EtNew
OOther
OReplace
TYPE
,~ged Air DRadiant DSteam ~ DVent OElectric OHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
cIi::n\1NEy TYPE DChimney A DChimney B u&nirect Vent DOther
HEAT LOSS ~s Approved DExisting DNot Applicable
BTU RATE DAs Per Plan DVariable ~OtherValue ~. tIlJ
DESCRIPTION OF ALL WORK BEING DONE h,;&4k"'v6: ;tA ; I)Ucf~Y~ e~
I I
t;I; ./U
.$ h~' ·
~ .
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.
VALUE
9/02