HomeMy WebLinkAbout0131996-HVAC (venting) CITY OF OSHKOSH No 131996
OSHKOS H HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 759 FARMINGTON AVE Owner GORDON A GUETZKOW Create Date 08/04!2008
Contractor AMERICAN HEATING & A C CO Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar Solid
System ^ New ~ Replace ~ Other
/ Forced Air Radiant ~tea~ A/C Vent
Electric Hot Water ~ 3uppl_~ Con. Bumer
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature FR /ADD 2 HEAT RUNS AND 1 RETURN AIR, GAS LINE FOR FIREPLACE "check #12286
of Work
I
Fees: Valuation $700.00 -
Plan'Approval i $0.00 Permit Fee Paid ---
$25.00
Issued By: ~- Date 08104!2008
^ Permit Voided ~ Parcel Id # 1252271300
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 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.
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City of Oshkosh ~~
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Division of Inspection Services ~~ ~~
P.O. Box 1130 '
Oshkosh, WI 54903-(130 AUG 0 4 2008
Phone (920) 236-5050 (,_i,)
fax (920) 23G-5084 t'~ tif~.`k I`~ti~l~~~ ''~ ~_~.
~,Crvtnn,,y ~' t~F w_ b r~~~i
!INS~ES._ e Il~~~ :%i tCV)l ~ `. } ~uil:.~~~ ON THE WATFR
NVAC PERMIT APPLICATION
All information aRer bold c~egories must be provided.
Incomplete applic;anons will not he processed.
• Application(s) and fee(s) can he brought to ('ity f lall, Room 205 nr mailed to Inspection Services PO fax) I ~8
Oshkosh Wi 54903-1128. Commencing work ~.~ith~ut hermit(s) will result in fees heing doubled or $100.00 plus~the
normal permit fee, which ever is greater.
OR
!c~u are n contracl~artic~pnti~ig to t! ~_1'crm-i~ee_Acc~t~nl.S3~srem ~ ck here
and hai a adequate funds the
i ~ rnu x~anl_llris Proce_ssed_Ihrnugh 3~nrtr accnunl
DATE .3 ~O
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('ONTRA('TOR_--~~~~~~ ~~ _ -
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CHF.('K H ALI. APPI.ICABt.F:
L-SF. ('ATEGORY
~nglc Family ^nttplox ^Multi-Family
FI-F.L ~as ^Iaectric DSnlid
^Oil ^Solar
^Rent~tl DCommercial
SYS7'F.111 ^New
~9ther
DIndusttiai
ORepiace
"hl'PF.
1~[orced Air DRadiant DStcam ^A/(' ^Vent ^l~.lcctritc D{Ic~t Water DSuppI.D('on. Burner
IS CHIMNEY BEING I.iNF.D~Io DYcs - I,1N(:R SVI'. _ Rc MANi1FAC"1~tJRE
Note: All c{dmneys shall he sized per the F3'1 l is hcng ventcd~. ~
CIiIMNEY TYPE ^Chimney A ~ttimney B
HEAT LOSS ^As Approved ^Existing
BTi1 RATF. DAs Per Plan ^Varial~lc
DESCRIPTION OF AI.I, WORK BF.IN(: DUNF._,
CII7irect Vent OOther
~tl'ot Aphlicahle
^Other Value
~,r~ t~
VAI.[tF, (including tabor and all materials including light fixtnrcc) $__ _/~D
F.I,ECTRIf';~I. ('ONTRA("IY)R - _ ' ' _ OR (I F.lectrlc Instatlatlon Vtri(ic>ttion form ttthched(IfReplacement)
l.hrhlrnl rncrollntMn n/nPw/rPplncrmenr Pquipmrnt shnU bP ~fone b)~ Uce-tsed eontrntlors.
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