HomeMy WebLinkAbout0125491-HVAC (furnace; a/c)
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OSHKOSH
ON THE WATER
Job Address 121 GRACELAND DR
CITY OF OSHKOSH
No
125491
HVAC PERMIT -APPLICATION AND RECORD
Owner DIANNE L WOLF
Create Date 06/25/2007
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
Plan
Contractor MARK WEBER HEATING & COOLING IN
Fuel [,I'I Gas UOil
System D New
~ Forced Air U Radiant
U Electric I I Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss () As Approved () Existing
BTU Rate () As Per Plan () Variable
I Solar U Solid
D Other
~ AlC U Vent
I I Con. Burner
() Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFR / Replace furnace & a/c. EIV provided by Electrical Construction Services. "DEBIT ACCT'-.
of Work
$3,600.00
~
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$64.00
Issued By:
Date 06/25/2007
D Permit Voided I
Parcelld # 0617710000
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
1075 ISLAND ESTATE CT
OSHKOSH
WI 54901 -1341 Telephone Number 235-1523
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.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
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 pennit(s) will result in fees being doub~ed or $100.00 plus the
normal permit fee, which ever is greater.
OR
I 'ou are a contractor artici atin in the Permit check here
ou want this rocessed throu h our account .
DATE ~ - " 5~ D ")
JOB ADDRESS-LQI f.
. OWNER~() (~
'CONTRACTOR i\~J. W~~
CIL~ 0. V"uJ/)
DDLf:
f\-:7<:::. .
CHECK la ALL APPLICABLE
USE CATEGORY
$single Family DDuplex DMulti-Family
DRental
o Commercial
DIndustrial '.
FUEL
lA'Gas
DOil
DElectric DSolid
o Solar
SYSTEM
DNew
DOther
~eplace
TYPE
~rcedAir DRadiant OSteam ONC OVent DElectric OHotWater DSuppl. DCon. Burner
. IS CHIMNEY BEING LINED ~o DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
cIiIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
DChimney B
DExisting
o Variable
~irect Vent DOther
DNot Applicable
OOther Value
I>ESCRIPTIONOFALLWORKBEINGDONE RdL~~~ Dr Dt..0 hl'JilJ~
~J) A Q t;) j TH "-'Jet..) ",De:") ~
.$ .:sCooo -00
VALUE
ELECTRICAL CONTRACTOR ~ ~. ~ Qt3; DftJ f ~
o For applicable projects, an Electric Installation Verification fonn, signed by the Electrical Contractor, must be
attached. Ifnot attached or not applicab~e, a separate Electrical Permit is required.
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