HomeMy WebLinkAbout0127379-HVAC
G
OSHKOSH
ON THE WATER
Job Address 844 KEENVILLE LN
CITY OF OSHKOSH
No
127379
HV AC PERMIT - APPLICATION AND RECORD
Contractor
AMERICAN HEATING & A C CO
Fuel
l~LGas -- _ J
o New
o F-,?!~ed!-JrJ
OElectrrC-=:J
D Chimney A
~) As Approved
KJ As Per Plan
Q~-=J
System
---~
Chimney Type
0:: Radiant --l
0: Hot '\,'\Jater_J
() C~imney B
Q Existing
o Variable
Heat Loss
BTU Rate
Owner DEWEY HOMES INC
Create Date 08/28/2007
~-,._,.
Category 500 - Residential-Heating & Ventilating
U Electric --.J U Solar _==:J
D~plac:~____~
D Steam _~=] U NC ,-I
U ~2pT-=_=J D~=~~f_~~r:.J
. Di~s:tven~_=-Q- Not Applicable -.==J
. Not Applicable Value
Plan
0------------.
__~<liicL..____1
Other
D_~~nt _==~=:
. Other
Value
_________ 50,00.2
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Use/Nature NSFR/ New single family, 1 story, 3 car attached garage 14' x 14' patio and concrete driveway.
of Work
Fees: Valuation ____~~O()Q_'_qo
Issued By: O~
Plan Approval
i
t_~---'--_.___________~:________________~.__'_'___._.____,___.__.---
Permit Fee Paid
$0.00
_$135..9.9
Date 10/19/2007
o Permit Voided I
--~---------'
Parcelld # 1550010100
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
1129 MICHIGAN AVE
OSHKOSH
WI 54902 - 6437 Telephone Number
---- -~ --
235-8090
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 (Q20) 236-5050
Fax (920) 230-)0114
I 1
OJ}-iKOfH
ON THF WATFR
HV AC PERMIT APPLICATION
All information after bold clJegories must be provided,
Incomplcte applications will not bc processed.
.
Application(s) and fee(s) can he hrought to City IInll, Room 205 or mailed to Inspection Services, PO 130x p.~~, th,
Oshkosh WI 54903-1128, Commencing work withollt penllit(s) will result in fees being doubled or $100.00'plus th~
normal permit fee, which ever is greater.
OR
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.JOB Al>DREss-i'l'l~NVz//e
OWNER,__.!ZkJJ:('1 _t/cmes l.:kivc..
CONTRACT()R.-4aie'O~..~___.. .
DATE If) - /~ .-tJ 7
CHECK 0 ALL APPLICABLE
~~E CATEGORY
~inglc Family
DDuplcx
OM u It i- r: amil v
DRcntal
DCommercial
o Industrial
FlfEL
ttQas
OOil
OElectric OSolid
OSolar
SYSTF:1\t
~e\V
OOthcr
OReplace
'1~PF-
)l'(orced Air ORadiant OSteam OAlC OVent OFlectric Ollot Water DSupp1.DCol1. Burner
IS CHIMNEY BEING LINED }(No DYes - LINER S17F___.__.__.___ & MANUFACTURER
Note: All chimneys shall be sized pcr the BTl"s peing \'('l1ted,J.
CHIMNEY TYPE OChimney ^ DChimney B ~ircct Vent DOther
HEAT LOSS OAs Approved DExisting ~ot Applicahle
BTlJ RATE OAs Pcr Plan DVariahlc ~)ther Value _-5..tfi;-@7
DESCRIPTION OF ALL WORK BEING D()NF:_~t.l'l::,i!___~,d./.)A:C.e
/c;Lf""b,:.-1:- ~.~ N~~ h.)H1e __1.'!2Jp,Sj-:
EN.
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V ALl IF: (Including lahor and all materials including lif,':ht fixtures) $ _~()c20 -
~1C\.
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ELF.CTRICAL CONTRACTOR
OR ( i Electric Installation Vtrlfi('atlon form attached(lfReplacemenl)
U('('/I;('111 ;n'/(Jlltll/tltl of n"lI'lt-"p!acemcnt equipment shall be done by Iicf!nst'd contrnclors.
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