HomeMy WebLinkAbout2006-HVAC (addition)
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OSHKOSH
ON THE WATER
Job Address 2892 RUSCHFIELD DR
CITY OF OSHKOSH
No
123019
HVACPERMIT -APPLICATION AND RECORD
Owner MICHAEL J/AMY J DOMKE
Create Date 12/28/2006
Contractor
ANDRESEN SHEET METAL
Category 500 - Residential-Heating & Ventilating
Plan
~J Gas
D New
~ Forced Air
U Electric
Chimney Type D Chimney A
U Electric
D Replace
U Steam
o Suppl.
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
Fuel
t J Oil
I
System
BTU Rate
. As Approved
. As Per Plan
U Radiant
U Hot Water
() Chimney B
() Existing
() Variable
Heat Loss
_ . Direct Vent . () Not Applicable
() Not Applicable
D Other
Value
Value
Use/Nature FRI Run duct for future furnace & AlC upgrade to addition, gas fireplace.
of Work
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Fees: Valuation
$900.00
~
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
Date 12/28/2006
D Pe~r:!'~t..~.9ided I
Parcel Id # 1340590000
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
2913 WITZEL AVE
OSHKOSH
WI 54904 - 6539 Telephone Number (920) 233-0323
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
Division of Inspection Services
P.O. Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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HVAC PERMIT APP,LICATION \ .'i....
AU 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,
0sbk0sh WI 54903-1128. Commencing work witboutpermit(s) will result i" fees ~g doubled or $100.00 plus the
normal permit fee, which ~ is greater.. '. . '
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~~:: ':a'a: t~~:~::::~~~~r:~~~::~":~~f ~:c~::~'f:fe ~ccou~~ Svste~ ,~"d hav~ ,ad'~qllate (undsHtlaeck here
DATE /d-.;24v~
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JOBADDRESS :lf1~ ,. ,-vS- IEJo~, ';.
OWNBR:~-- -,C:;~ ~S. iOL5' .
coNTRAcro~4a'/26v&J c-?;:"~d Jl1~
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CIlECK &I ALL APPLICABLE
USE~GORY
.eJSiiijte :Family CDuplex ClMulti-Family ClRental
t t
l t
CCommercial
';" .
OIndustriaJ
FUEL ~.
DOil
omectric OSolid
OSolar
SYSTEM
I
DNew
oother
Dreplace
TYPE."
~ Air ORadiant ..I;1Steam' 'CAfe CVdlt, OBlectric OHot Water CSuppl. CCon. Burner
. ~ ~ . ~, ~. .
IS CHIMNEY BEING LINED DNo OY'~ .. LlNBR SIZBA/A-: &MANUFA~
Note: AU chimneys shall be sized per the. 8ID's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
.~~
'. BiGPer Plan
OCl1jJDney. B
~....;.: J...:- ._
'';':''>>AUMII"
OVariable
~Vent [JOtbel'
CN9t Applicable . / ' ~ ,
~Value g/t5:cW46 A-M /lVwd/ho~
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MN dud
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VALUE (Including labor ..d aD materl~eludlDI upt'ftxtureI) S . 9/cX) :?O .
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ELECTRICAL CONTRA.croR . LV.4-___ ' - .,'. -.' .
. 0 For applicable projects, an Blectrio Installation Verl~on f~ siped 'by tho Bleotrio8liiloRnqtor. must be
attached. If not attached ~ not applicable, a separate Electrical ~t.i8 t'eqWmd. .
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