HomeMy WebLinkAbout0127397-HVAC (pellet stove)
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OSHKOSH
ON THE WATER
Job Address 15 E MURDOCK AVE
CITY OF OSHKOSH
No
127397
HVAC PERMIT - APPLICATION AND RECORD
Owner KENNETH W FELlXlTOM CLOCHESY
Create Date 10/22/2007
Contractor EARTH SENSE ENERGY SYSTEMS
Fuel U Gas UOil
System ~ New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type r) Chimney A r) Chimney B
Heat Loss C) As Approved e) Existing
BTU Rate :0 As Per Plan () Variable
Category 503 - STOVES AND FIREPLACES Plan
U Electric
o Replace
U Steam
U Suppl.
e) Direct Vent
U Solar ~ Solid
o Other
U AlC U Vent
I j Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFRI LATE PERMIT/Installation of a pellet stove.
of Work
$2,500.00
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$47.50
Issued By:
Date 10/22/2007
o Permit Voided I
Parcelld # 1504120000
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
AgenUOwner
Address
15 E MURDOCK AVE
OSHKOSH
WI 54901 - 2333 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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, WI 54903-1130
Phone (920) 23 6-5050
Fax (920) 236~5084
ON THF WATFR
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-ll28~ Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
Ifvou are a contractor particivatin'i! in the Permit fee Account Svstem and have adequate funds. check here
ifvou want this processed through vour 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
JOB ADDRESS \CS 'i' ~J<-
OWNER k~~
CONTRACTOR ~ ~L--~
R
o
OCi 1 9 2007
DEPARTMENT OOFpMENT
UNlTY OEVEL PI
COMcrM10' N SERVICES DIVISION
INSI'E
CHECK 0' ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex DMulti-Family
DRental"
o Commercial
Dlnclustrial
FUEL
DGas
DOi!
DElectric DSolid
DSolar
SYSTEM
~ew
o Other
\;') DReplace
-f~~
TYPE
DForced Air DRadiant DSteam DAIC DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
DChimney B
DExisting
DVariable
DDirect Vent DOther
DNot Applicable
DOther Value
DESCRIPTION I SCOPE OF ALL WORK BEING DONE
VALUE (Including labor and materials) $
.--'~ ...~.,.
/ '''-,
ELECTRICAL CONTRACTOR (for projects not requiring an EIV FOr~) ~ L
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07/07