HomeMy WebLinkAbout0127384-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 674 FREDERICK ST
CITY OF OSHKOSH
HV AC PERMIT - APPLICATION AND RECORD
No
127384
Owner
DISCOVERY PROPERTIES LLC
Create Date 10/19/2007
Contractor ~~L TEMP. EQUIP. SERVICE INC Category ~~q_~_B.esid_~~.t!~~!:l~ating _8._Y~ntilaJL~!L_
Fuel 1,(1 Gas D-oil-~-::J D ==:J
~._~Iectric _ .. ITSolaj_----=~
System ~New _____J 0. Replace ___J
l!J Forced Air I U Radiant-, USteam---l QAtC----1
UJ:~.I:~_J D~~ U Suppl. --I ~,-Burn~
Chimney Type a_9!L~ A D Chimney B --=-D=-1>1~!i~tY~I==--=-J Not App!!p.?ble ==
Heat Loss ITAs Approved () Existing ____.______.=-~~~~ Value
BTU Rate ITAs Per Plan Q Variable . Other Value
Plan
D]~~_--=]
Other
D-Ve-nt---~1
__.J
___________g.?9_0
Use/Nature Duplex (674-A) / Replace furnace. EIV provided by Seckar Electric.
of Work
Issued By:
$1,999.00
t2nv:J
Plan Approval $0.00
Permit Fee Paid _______$~g:OO
Date 10/19/2007
Fees: Valuation
D_~_~l11it V()ide..clJ
Parcelld # 0704400000
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
1054 AMERICAN DR
NEENAH
WI 54956 -1305 Telephone Number (92.Q.LZ~1-5071__
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 of Inspection 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 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
I
ee Account S stem and have ade
check here
DATE
10 J 1710~
I I
JOB ADDRESS
OWNER
CONTRACTOR
&7'-1 /I- W~~ 2/~L
& ,1-C~ P't/I"{ {J)uY/"M;[J ~ '. '
~ 'I M1f}/ / tf"t$L./.hnu Uj
CHECK 0 ALL APPLICABLE
USE CATEGORY
OSingle Family lkI'6uplex OMulti-Family
ORental
o Commercial
OIndustrial
FUEL
~s
DOn
DElectric DSolid
o Solar
SYSTEM
DNew
DOther
~eplace
TYPE
~rced Air DRadiant DSteam DAlC DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED Q1\k, DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being yented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Pla~
OChimney B
DExisting
DVariable
DnCect Vent ~er
~~; Applicable
mOther Value :3.;l. $~ IJ TI.( L cr:..iD
DESCRIPTION OF ALL WORK BEING DONE ~~/...e e_ .e.J ...J.. .. J.
,
hvr-~tl. C t""
tit .J/(J f ()O
:;;. - ~qLfO
VALUE (Including labor and all materials including light fixtures) $ /9 9 9. (;0
ELECTRICAL CONTRACTOR J PC/ZtJA. C A-(':;;;i(;./ &,tll ,~~ .
o For applicable projects, an Electric Installation Verification form, signed by e Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02
F~OM : FAX NO. :9205824909
Ma~. 08 2007 02:26AM Pi
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