HomeMy WebLinkAbout0104164-HVACSCHARENBROCH HEATING INC
O~HKOSH
ON THE WATER
Job Addreae 2235 HICKORY CT
Contractor
System [] New .....
L~ Forced Air I ~j Radiant
[] Electric ] [ J Hot Water
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner BRIAN D/KAREN M GOLESH
Category 500- Residential-Heating & Ventilating
Id Electdc
[] Replace
Steam
] ] Suppl.
No 104164
Chimney Type ~ Chimney A ( ) Chimney B
Heat Loss ~ As Approved (..) Existing
BTU Rate ~ As Per Plan (..~ Variable
Create Date 07/22/2003
Plan
I, Is°lar I ~' Solid
] E~_Other
L~ NC I L~ Vent
L-T con. Burner ]
Direct Vent (.=) Not Applicable I
(..) Not Applicable I Value
(..~ Other I Value
0
Use/Nature ~!SFPJ LATE PERMIT/Install HVAC system for new home.
of Work
Fees: Valuation $7,575,00 Plan Approval $0.00 Permit Fee Paid $119,00
Issued By: ~,~ Date 09/15/2003
[] Permit VoidedI
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 enfo~e.~asement restrictions of which it is not a par[y, if you perform the work
described in this permit application within an ea~e~ e.~t, the City strongly urges the permit applicant to contact the easement
holder(s) and to se,ctS., ~'any neces~ry app. rzCval~ be~3re starting such activity.
"'J L"'/ '"~Gwner
Address PO Box 911 Neenah WI 54957 - 911 Telephone Number 920-72g-9775
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.
Sep 03 03 01:51p Oshkosh Inspections 920-236-S084 p.1
City of Oshkosh
Division of Impoction Services '
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-508~
S- P 0 5 2005
,, O/HKO/H
HVAC PERMIT APPLICATION[ -V£LOPg4£NT
All ~fo~fion after bold categories ~t ~ p~vi~d.
Inco~lete applicagons ~1~ not be ~ocess~d.
AgplicaQon(s) and fee(s) can bc brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $I00.00 plus the
normal permit fcc, which cv~r is greater.
OR
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
CHECK [] ALL APPLICABLE
USE CATEGORY
~S!ngle Family nDup!e~
FIMulti-FamilY' F1Rentai ::.: nc0mmerciai: :": Elhdu~trial
FUEL i~Gas I~Electric r'lsolid
ElOil I~Solar
Forced Air I-1Radiam IZ]Steam I2]AJC invent EIEleetric
IS C~Y BEING LII~i'ED J~No I-lYes ~ LINER SIZE.
Note: All chmmeys shall be sized per t~ BTU's being vented.
SYSTEM ~Ncw ~]Rcplaee
~Other
DI-Iot Water r'lSuppl.
& MANUFACTURER
I-ICon. Burner
CHIMNEY TYPE nChimney A I-IChinmey B ~Direet Vent I-IOther
FLOAT LOSS ~As Approved FIExisting rqNot Applicable
BTU RATE ~As Per Plan DVariable nOthcr Value
DESCI~IPTION.OF ~ .L WORK BEING DONE ~) g,.,O k&o&o ("~,q 5']Tb~'r; or', ,
Frolic, cC
VALUE (InClUding labor and all materials including light fixtures) $
ELECTR/CAL CONTRACTOR
For applicable projects, an Elec~c Installation Veri~eafi6n form, signed by the Electrical c°n~m0r, must be
attached~ If not attached or not applicable, a separate Eleelrical Permit is required.
9/02