HomeMy WebLinkAbout0125218-HVAC
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OSHKOSH
ON THE WATER
Job Address 4411 ISLAND VIEW DR
CITY OF OSHKOSH
No
125218
HVAC PERMIT -APPLICATION AND RECORD
Owner CLASSIC HOMES BY KUBA L TO
Create Date 06/07/2007
Category 502 - Residential-Both
I J Electric
o Replace
U Steam
U Suppl.
. Direct Vent
Plan
Contractor BREWER HEATING
Fuel ~ Gas I J Oil
System o New
~ Forced Air U Radiant
U Electric I J Hot Water
Chimney Type ~) Chimney A C) Chimney B
Heat Loss o As Approved () Existing
BTU Rate ~) As Per Plan () Variable
U Solar
U Solid
o Other
U Vent
~ AlC
I J Con. Burner
() Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature NSFR /1 story home with a 3 car attached garage, 14'x14' rear patio, concrete driveway. ""DEBIT ACCT"",
of Work
Issued By:
$6,400.00
~
Plan Approval
$0.00
Permit Fee Paid
$106.00
Date 06/07/2007
Fees: Valuation
D Permit Voided I
Parcelld # 1560130200
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 DOUGLAS ST
RIPON
WI 54971 -9702 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.
:-)07-06-07 08:46
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BREWER
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HVAC PERMIT APPLICATION
AU inlormation aflel bold c~lcgories must be provided,
lncomp1clc applicatiolls will not be processed.
. Application(s) and fetes) ca:) be brought to City 13311, goom 205 or maikd to Inspection Service", PO Box 1128,
<".hhLosh WI 54903.11 n. Cornmeneing WOl k \"l.:~j()UI p::n""jli.U,) will resi.llt in fees bci;jg doubled or S, 100.00 plus the
~I(inn:d rem!:t )',,(:, wInch ever ,;; tre;;'CL
()! ~
,J_:.:l!..!!__J!..u__g. (~''''IJ.E:.!!.S.l.::.LJ!a "(1,. :'JI.c:!.0.r.J.n.....L!.i.!:.....!::..'.'. L 'O;! :of'.. A (" C (I if rU S)'s t~ m 0 n Ii h (J \,(' ad c~; u c: {e (u niJ..-<.,..(:h i.~ck here'
i..3.....l.lLl.! .., ant thIS T)r(Ju..~~:!!d tnrOl/'f;1 V"U!:...Q..!:!:.i:.!!...!.cJ~
DATE , - 7 - 07
JOB ADDRESS q'H' __ ~LJ41Jj) t1,~
OWNER C-(~S1''- ~ 'fir IL-~~
CONTRAcrOR__J3L?t3~. .~
CHECK E?I ALL APPLICABLE
l:St CATEGORY
ringJe Family ODuplcx DMulti-Family
ORental
o Commercial
Olndustrial
FUEL
,-Gas
DOH
OElectric DSolid
DSolar
SYSTEM
BNew
o Other
DReplace
TYPE
~orced Air DRadiant DSteam J!{A/C DVent DEJectrlc OHotWater OSuppJ. DCan. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE___..
Note: All chimneys shall be: sized per the BT1J's being vented.
& MANUFACTURER
CHIMNEY TYPE
IlEA T LOSS
BTU l1A TE
OChimney A
OAs Approved
DAs Per Plan
OChinmey B
DExisting
OVariable
~ire('.t Vent DOther
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BhING DONE
J?1fe;Bw1 [, "1 t/"IA/ ..j..;..., ~
a~~ ).-l(1... It{ L
f/ vJ4~
VALUE
.t (p 'f If)) "
,
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ELECTRICAL CONTRACTOR
o For applicable projects, an Electric Installalion Verification fomi, signed by the Elc:ctricat Contractor, must be
an.ached. If not stt1l.ched or not applicable, a separate EJectt;cal Permit is required.