HomeMy WebLinkAbout0125106-HVAC
G
OSHKOSH
ON THE WATER
Job Address 834 KEENVILLE LN
CITY OF OSHKOSH
HV AC PERMIT - APPLICATION AND RECORD
No
125106
Owner DEWEY HOMES INC
Create Date 03/26/2007
Contractor AMERICAN HEATING & A C CO
Fuel l.!:J Gas [JOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type U Chimney A () Chimney B
Heat Loss () As Approved () Existing
BTU Rate [) As Per Plan () Variable
J
Category 500 - Residential-Heating & Ventilating
U Electric U Solar
o Replace
U Steam
U Suppl.
Plan
UNC
U Solid
o Other
U Vent
. Direct Vent
U Con. Bur'ler
I
() Not Applicable I
. Not Applicable
. Other
Use/Nature NSFR /INSTALL NEW 50,000 BTU FURNACE AND DUCT WORK FOR NEW HOME
of Work
I
VC/lue
I
Value
50,000
i
Fees: Valuation, $5,000.00
Issued By: ~K
~ .. '\J
Plan Approval
$0.00
Permit Fee Paid
1=
$85.00
Date 06/04/2007
o Permit Voided I
i
Parcelld # 1550010000
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
i Date
Agent/Owner
Address
1129 MICHIGAN AVE
OSHKOSH
WI 54902 - 0
Telephone N~mber
235-8090
i
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 i's 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
Oshkosh. WI 54903-1130
Phone (920)236-5050
Fax (920)236-5084
RECEIVED
JUN 0 4 2007
, I
DEPARTMENT OF
All ~~~~~~r~11r}}ev~ed.
Incomplete applicatiom will not he processed.
. ,(!
OJHKOJH
ON THf WATfR
~ 1 i ZH.
· Application(s) and fee(s) can be brought to City Hall. Room 205 or mailed to Inspection Services, PO BQX.Pi7~,
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 ltd., iJ""k /'('1.
!Ll'-~U!..J!l'.f--fLJ:Ql1!.[fL~!QUJ1.T:U(jpJU i!1g_ilu~r._l~ef1.l/j Lle.gAscq ~IJ.' tSJ'J.Le!!LllJld II a \Ie ad,eq UG Ie (u "ds', cheCk here
iLJ'!..)!L.~~'nllLlhu..J~ULc;,g,H_c;,d _! JI I'oug It YO!I I' (/C('OIlI/ f __D
.JOB ADDRESS 13,f_./~~lVvl (/ ~ 4-.
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CONTRACT()R,-A.J!1.~Le'6l...v.__ 4 __. .h.___._.
HATE
rPI/o7
CHECK 0 ALL APPLICABLE
USE CATEGORY
~inglc Family DDllplcx DMlllti-Family
DRcntal
DCommercial
.' ; ;;;i
Dlndustrial
FIIEL
~Gas
DOil
DElectric DSolid
o Solar
SYSTEM
~e\V
DOthcr
,DReplace
TYPE
~orced Air DRadiant DSteam DMC DVenl DIJcctnc Dllot Water DSuppl.DCon. Bum~r
IS CHIMNEY BEING LlNED~() DYes - LINER SI7F______h__ & MANUFACTURER
Note: All chImneys shall be sized per the nnJ's heing vented. >1
CHIMNEY TYPE DChimney A DChimney B B1Pirect Vent DOther
HEAT LOSS DAs Approved DExisting gNot Arplicahlc
BTlJ RATE DAs Per Plan DVariahle ~ther Value t!91/(J'3
DESCRIPTION OF ALL WORK BEING I>ONEu___.Au's ~___h,e..cr.;J9r.:e
c/ud ~h!)~ h~ IV"~~ ~CJP7~ - ~~;h
$-;4/ A-~~
.
;tfJ:A.YJ
V AUIE (Including lahor and all materials including light fixtures) $___~C>O ~
EI ,ECTRICAL CONTRACTOR
OR [) Electric Installation Verification form attached(lf Replacement)
/;Ice/r;ml ;nwollOlion of flew/replocement I'qll;pm~nl silt/II be dOliI' by Iiallud Colltmctors.
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