HomeMy WebLinkAbout0126825-HVAC
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OSHKOSH
ON THE WATER
Job Address 33 W TENNESSEE AVE
CITY OF OSHKOSH
No
126825
HV AC PERMIT- APPLICATION AND RECORD
. .,
Owner ANN M SCHOEN
Create Date 09/18/2007
~--,
BTU Rate
ONc-"-~~]
U Con'-Bi:iiTIer]
. .1
() pirect Ven.,-___ Not Applicable I.
.'===- .~AppjjCclbje; -.----J Value
'-Other.== ~_.._~-.J Value
Catego ry ?.Q~:I3~sid.ElQtia ~1:!~Cl.tln.9J<YentilatiQ..!L.
IT~:ct.rI~.::=J D_~<?l~===]
o Rep~_c.!.~._ _ ____.._J
D-=~~~.m~~==.:=J
U SupPI==-==
Plan
Contractor
BREWER HEATING
Heat Loss
l~ Gas _~J
o New -.-J
l!J Forc~~~_] D~~=]
rnTectric.-J 0: Hot Water::::']
O_QhJ.~~_~:--UChimney B
D-As Approved D Existing
ITAs Per Plan --.0 Variable
ITQi!...===]
O:~q~d_._::=J
Fuel
System
Other
O'Vent---]
Chimney Type
"1
I
I
I
Use/Nature ;SFR / Add heat supplies to addition. ""DEBIT ACCT"",
of Work!
, I
Issued By:
$450.00
~
Plan Approval
$0.00
Permit Fee Paid ____$25.00
Date 09/18/2007
Fees: Valuation
O. Permit Voided I
-----~--_._,-~
Parcelld # 1500580000
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.
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ell)' ofOshkos11
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BREWER
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HVAC PERMIT APPLICATION
All in!ClrHl.l:llioll all<;1' Lo1d C31C:.goriC:5 mllst be provided.
lIlcompklt ;:ppllcaliom, wiHnat be processed.
· p.ppli<':Gltion(s) and f(:(:(:;) can be hroughllO C'it)' H:111, R()o:~) 205 or mail<::d to lmpcction Services, PO Box 1128,
Od,kc'sh \\lJ .r..4~)I)3-}1~B. C()m:J.~-Ti,'inG ....\I!\ v..:.tLo'..Jt j,t.:T711;t(c,) will result b {c~s being douh:cd or ~;j ',U.Ur) plus the
:Iorn,::l ptrnrl !t,t:., wLi:.n e\'el is ;~':~'Gi:l:;'.
,jJ ~
~_ .~,.!~:...!!...J.,'i.L'! ;..2:...!.!...!...JL!.!.IlJ_~J2'):: !l.:'" ~l!..._~i!:.-L:"'!.!Jl;
U~l1.g,l!. I r 11 1 ,\ rl~ II ('('~':' (' d (h n!J!l:. I, \' <I ZII' (I ( .-: /J :0, t
.{l.(((jllnt Snrem a.nd have (}(iefjUCI,'JIJr:,j.\, check hcre
DATE 9~-11--o7__",
Jon A)>DRESS 3 3 \JJ . T .lj'(\ N~e...-
~j~t~._=__j'/~ ~c{U.p- ~y~~
COXfltACroR]3 (e.<.w.e ~-4.~ J '2:"1<;.__
CHECK 0 ALL AJ'l>LlCAllLE
5j,~ CATEGORY
~ingle FaJIDly
ODuplex,
DMulti-Famlly
ORcntaJ
o Commercial
o Industrial
FUEL
~as
DOi1
DElectric OSolid
DSolar
SYSTEM
ONew ~ DRfPl".e ,
;&Qther ~
D7E
~?rcc.d Air DRadiant DSteam D-;;5f_. OVent OElcctric
IS CIDMNEY BEING LINED DNIJ1/tt. LINER SIZE
Note: All cbiIIIDcys shall be si2ed pc. the BTU's being vented.
DHot Water OSl.lppl. DCon, Burner
& MANUF ACTlJRER
CBlMNEY TYPE DChirnney A OChimney B
IlEA T LOSS OAs Approved OExisting
BTU RATE DAs Per Plan OVariable
l>E~qrorTlON OF AlL WORK BEING DONEIA dd
o..CtOl1-\dY1 ._
ODirect Vent DOther
DNot Applicable
DOther Value
t,k..-t ~p-ls :io
VALUE
,~ :f 5~-
~6
~lQ~
\
ELECTRICAL CONTRACTOR
n For 2pplic.able proje.c.ts, an Electric Installation Verification fom1, signed by Ule. Dkctncal Contractor, must be
attached. lfnot attached or no' appljc~ble, a separate Elecb1caJ Pcnnit is Tequired.