HomeMy WebLinkAbout2008-HVAC CITY OF OSHKOSH No 134246
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 1055 ZACHER DR Owner STEVE & MICHELE WILLIAMS Create Date 10/08/2008
Contractor FONDY HEATING & AIR CONDITIONING Category 502 -Residential-Both Plan
Fuel / Gas Oil Electric Solar_ ~ Solid
System ^/ New ^ Replace _ ^ Other
/ Forced Air Radiant Steam J / A%C ^ Vent
Electric Hot Water ~ ^f Suppl. ^ Con. Burner
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
of Work
*'check #7288
Fees: Valuation
Issued By:
Plan Approval $0.00
^ Permit Voided
Permit Fee Paid $100.00
Date 12/03/2008
Parcel Id # 1560104800
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 N7374 MOSHER DR
FOND DU LAC WI 54937 -8430 Telephone Number 920-922-4565
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 ofoshko~h R E C E I V E
Dirisioa of lagpection Services
P.O. Box 1130
osw~osh,wtsa9a3-ii3o DEC 0 3 2008 _
Phone (920) 23fr5050
Fa" (920) 236-5084 DEPARTMENT OF
COMMUNITY DEVELOPME oN rMe wtiTFt
HYAC PERMIT q~3j~~gvlCts DIVISION
,~ ~ / J All information after bold categories must be provided,
~ v ~y / 7~-a /~~~~ ~ ~ ~ ler~ app>ica~ ~-i~i nor be p~ocessea.
• .Application(s) and fee(s) can be brought to City HaII, Room 205 or mailed to Inspection Services, FO Box 1128,
Oshkosh Wl 54903-1128. Cv~cing work without permits} welt result in fees bang doubled or S 14Q.00 plus the
normal percept fix, which ever is greater.
OR
Ij voce are a coAtractor na~tirinan~ra :~. the Permit fee rtecouxt Svstewt asd have ad goats funds chock here
tf you wait tktsnroc¢ssed throstr-h vour accortnt n
CO_VTRACTOR ~ ~'/~ ~D n/S ~~E'6t'Ct/ON
CHECK 0 ALL APPLICABLE
L CATEGORY
Ingle Family ODuplex ClMulti-Fartrily ORental
DATE o2 oZ
C7Commeceial Olndustrial
FUEL QElecaric L15olid SYSTEM rJ' New QReplacx
OOiI pSolar pp~~
TYPE
Forced Air pRacliant C]Steazn ~A/C L7Vent CElectric Dliot Water t]Suppl. t7Con. Burner
IS CffiIVIl~TEY BEING LINED Qlda OYes -LINER. SIZE & I++IAi~fUFACTUREit
Note: All chiameys shat] he sized pcr the BTU's being vented.
CHIMNEY TYPE OQrienr~ey A QC'Itimney B QDirccf Vent pC?ther
HEAT LOSS OAs Approved C7Frxisting Not Applicable
BTL: RATE DAs Par Plan QVariable /- ~ OOther V_a/lu/e
DFS P'TIO~T,QF WORKs~I~ING D4T'E / V~ w_ ~70US~ oII~W ~UYn qc~
/~ C ~~~~ WOY'lC. _ it ~ Ire tin ~ ~:~
VALUE (including tabor sad all m$teriils including light fiatares) S ~DDD °a '~/00 cv
ELEC~rRICAL coNTRACroR
^ Far applicable projects, an Electric installation Verification form, signed by the Electrical Contractor, must be
attachcd. If not attached or not applicable, a separate Electrical PerYnit is regained.
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