HomeMy WebLinkAbout0146577-HVAC (chimney repair) CITY OF OSHKOSH No 146577
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1505 WESTERN ST Owner SCOTT L/BARBARA S GAVEL Create Date 06/28/2011
Contractor OWNER Category 500 - Residential- Heating & Ventilating Plan
Inspector
Fuel U Gas Li Oil H Electric U Solar u Solid
System n New n Replace 0 Other
Li Forced Air _J Radiant u Steam a NC u Vent
Li Electric u Hot Water U Suppl. U Con. Bumer
Chimney Type 0 Chimney A O Chimney B 0 Direct Vent • Not Applicable
Heat Loss 0 As Approved O Existing • Not Applicable Value
BTU Rate 0 As Per Plan O Variable • Other Value
Use /Nature SFR/ Chimney Repair - installing sleeve for chimney. Advanced Chimney Repair is doing the work.
of Work
Fees: Valuation $350;9 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: Date 06/28/2011
Permit Voided Parcel Id # 1211490000
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 y 4 Date G
Agent/Owner
Address 1505 WESTERN ST OSHKOSH WI 54901 -2866 Telephone Number
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
Inspection Services Division
PO Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 Of HKOf H
Building Permit Application ON THE WATER
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account Ft
JOB ADDRESS l 5^ C9S_ eS 7` 'e % 2
OWNER ( 6' /7
CONTRACTOR A / e-- ed G
I am the: [21-Owner OR ❑ Contractor
USE CATEGORY
El Single Family ❑Duplex ❑Multi- Family ❑Rental ❑Commercial ❑Industrial
Work being done:
❑ Addition ❑ Deck/Porch/Patio ❑ Driveway/Parking
❑ External Remodeling ❑ Fence/Hedge/Kennel ❑ Garage/Utility Structure
❑ Handicap Ramp ❑ Hot Tub /Spa ❑ Internal Remodeling
❑ Sign/Canopy /Awning ❑ Stair/Handrail ❑ Stove/Fireplace
❑ Swimming Pool ❑ Wrecking Permit
❑ Other C' (,,te -ec /Z T- /r.07/ 2
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
❖ Full description of work being done: 'e
4. "-. f
Any work not included in this application is not permitted.
Value of the job $ S (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.)
PLEASE READ, SIGN, & DATE:
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
Name:. ._-S �
4 p"1 (Please print)
Signature: ..4 cede--
Date: 6- .P-i -/r
3/02