HomeMy WebLinkAbout0126870-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
Job Address 854 KEENVILLE LN
CITY OF OSHKOSH
No
126870
HVAC PERMIT -APPLICATION AND RECORD
Owner HUISMAN HOMES LLC
Create Date 09/19/2007
Category 502 - Residential-Both
U Electric
o Replace
U Steam
I J Suppl.
. Direct Vent
Plan
Contractor THOMPSON HEATING AND COOLING S
Fuel I~ Gas UOil
System [7] New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss . As Approved () Existing
BTU Rate KJ As Per Plan () Variable
U Solar U Solid
o Other
~ AlC U Vent
U Con. Burner
C) Not Applicable
() Not Applicable
. Other
Use/Nature NSFR /INSTALL FURNACE, AlC, GAS, VENT AND DUCTWORK
of Work
Value
Value
50,000
Fees: valua~.. 6,435.00
Issued By:
Plan Approval
$0.00
Permit Fee Paid
$107.50
Date 09/19/2007
o Permit Voided I
Parcelld # 1550010200
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh h. no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this per . ap 'cation within an easement City strongly urges the permit applicant to contact the easement 0
holder(s) and to s cure any essary approv s r rting such activity. Q / r/o 7
Signature Date / /
Address
901 OTTER
OSHKOSH
WI 54901 - 0
Telephone Number 920-426-3095
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, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ON THF WATFR
HV AC PERMIT APPLICATION
All information 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 permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor particilJatinz in the Permit fee Account System and have adequate funds. check here
if you want this processed throuf!h your account n
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted.
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE
9/;1/07
JOB ADDRESS . J?~t/ ~~/ CCt;;"
OWNER ~_;/#~ /~/p/~
CONTRACTOR 77HItfPS<J/'J 14~/i-b;
CHECK 0 ALL APPLICABLE
~_E CATEGORY
~ingle Family DDuplex
DMulti-Family
DRental
o Commercial
o Industrial
FUEL
~as
DOH
DElectric DSolid
DSolar
SYSTEM
~ew
o Other
DRep1ace
TYPE
~orced Air DRadiant DSteam !1...A/C DVent DElectric DHot Water DSupp1. DCon. Burner
IS CHIMNEY BEING LINED ft(No DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
~irect Vent DOther
DNot Applicable c-?J
~ther Value <:::3' {../ / rn
I'
DESCRIPTION / SCOPE OF ALL WORK BEING DONE h/ ~ 14/~ ;
Ou~~ ' /
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
~s Approved
DAs Per Plan
DChimney B
DExisting
DVariable
qH5j l/~
VALUE (Including labor and materials) $ 6(:!~ ( t/D
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
~ a.~~/~
07/07