HomeMy WebLinkAbout0126108-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 2009 JACKSON ST
CITY OF OSHKOSH
No
126108
HVAC PERMIT - APPLICATION AND RECORD
Owner THOMAS A MCDERMOTT JR
Create Date 08/06/2007
Contractor MARK WEBER HEATING & COOLING IN
Fuel U Gas UOil
System D New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type KJ Chimney A () Chimney B
Heat Loss K:) As Approved () Existing
BTU Rate () As Per Plan () Variable
Category 511 - Ind. & Comm-Air Conditioning Plan
U Electric
D Replace
U Steam
U Suppl.
() Direct Vent
U Solar U Solid
D Other
~ AlC U Vent
U Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature COMM / Replace AlC unit. EIV provided by Electrical Construction Services. .*DEBIT ACCT*..
of Work
Fees: Valuation
$3,000.00
Plan Approval
$0.00
Permit Fee Paid
$55.00
Issued By:
rkrJv<J
Date 08/06/2007
D Permit Voided I
Parcelld # 1219090000
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.
'l(O~, City of Oshkosh
"'Division of Inspection 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.
~
OfHKOfH
'ON THE WATER
· Application(s) and fee(s) can be br~ught 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 doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I
check here
JOBADDRESS ;/:ba'l ~~~.
'OWNER A I Me_~<<V1.o-rT CD
. CONTRACTOR t1~' t~ I-ff(~
DATE 2,-', D?
CHECK It'! ALL APPLICABLE
USE CATEGORY
OSingle Family DDuplex DMulti-Family
DRental
/$tCommercial
DIndustrial .
FUEL
o Gas
o Oil
DElectric DSolid
o Solar
SYSTEM
DNew
DOther
~eplace
TYPE
DForcedAir DRadiant DSteam ~C DVent DElectric DHotWater OSuppl. DCon. Burner
IS CHIMNEy BEING LINED DNo DYes - LINER SIZE
Note: All cbitnneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
BEA TLOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
OChimney B
DExisting
DVariable
DDirect Vent DOther
DNot Applicable
DOtherValue
DESCRIPTION OF ALL WORK BEING DONE ~~ ~J T D F -ri" rc;r-z A.J{..
11 i fJ ~^){) 177~I..'rE"'Y\ l-r) tV)/- A .~)
~
VALUE _ $ &,ZX) .(C)o ,~lil\;'!
. ELECTIUCAL CONTRACTOR ~<S G ell.&, tAJl~ J \
o For applicable projects, an Electric Insta latlOn Venfication form, signed by the Electncal Contractor, must be
attached. If not attached or not applicab~e, a separate Electrical Permit is required.
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