HomeMy WebLinkAbout0104671-HVAC
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
104671
HVAC PERMIT - APPLICATION AND RECORD
Job Address 2311 2315 PATRIOT LN
Owner
MIDWEST GENERAL CONTRACTORS
Create Date 07/23/2003
Contractor BREWER HEATING
1,(1 Gas 1 1 Oil
Fuel
1,(1 New 1
System
l..j Forced Air U Radiant
1 1 Electric 1 1 Hot Water
Chimney Type () Chimney A 0 Chimney B
Heat Loss 10 As Approved 0 Existing
BTU Rate 10 As Per Plan 0 Variable
Category 502 - Residential-Both
1 1 Electric
Plan
1 1 Solar
1 1 Solid
1
1 1 Other
1 U Vent
1
1 1 Replace
U Steam
1 1 Suppl.
l..j A/C
1 1 Con. Burner
. Direct Vent
0 Not Applicable
. Not Applicable
. Other
Value
0
Value
Use/Nature DUPLEX! Install HVAC system in new duplex.
of Work
Fees: Valuation
$8,560.00
Plan Approval
$0.00
Permit Fee Paid
$134.00
Issued By:
Date 1 0/08/2003
U Permit Voided 1
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
N8804 N DOUGLAS STREET
RIPON
WI 54971 -0
Telephone Number
(920)748-6494
---
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.
ofO,JI1:osh
oj 1¡¡sReelion Services
P,O, n"x ] UO
(Js}¡)((¡s)¡, \\11 54903.J 130
Phone (920) 236.5(bO
b>: (920) 236.5084
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,\1] i¡¡«>rnJ;;li,m "n'Ûl,old C"'CJ"'ri"s mllsll'", provided,
]nn'H'pl< 1e J']iphc;;li"I" wii! )d be pi occs,,<:<J.
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Ap¡1]i";;lion(s) 1md fu;(s) can be; brough110 01y HaJJ, Room 205 0) maikd 10 b1spc:c!ion Services, PO Box J ln,
Oshkosh W] 5~903-J ] 28. 'Commencing work withoul peJ1J1il(s) wm resuJ1 in fees being doubkd or $100.00 plus Ihe
nom)3l pem)j¡ fee, which ever is gyealer.
OR
](1'0" are a contractor "artici"atin~ in the Permit fee Account Svstem and have adeauate funds, check here
ifvou want .1.b.J.urocessed throul'h vo"r account n
DATE.
JOB ADDJŒSS~3J\ ,=-d3..l.i_t& ÎP\ 10 T l~N ~-
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USE CATEGORY
DSing]c F::mj]y ~uþlex
DMu11i-Famj]y
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"oCommercial
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OJ''ew OPepJace
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rO"~Cd ,\iT [ , ,adi",)1 os",.;]) ¥Vc CJVc,,1 1:.;': 'ecl!:, OJ ,"t w,,;,]" OSuppU.JCon. j3)jmer
':~CIMj~;;:Y,EIN::JX",,',DU?~ol!Yes .UN"õR"lZL - .,"Mh'\iUJ','cnl"u~ -.--
Nol<': N' chimney" 5h,," :oe si?cd per ihe 131"\)'5 hr.:.-:g "'nlcd.
C¡:¡M,'EVr, 'E
W '\'" 1.oOI;S
BTU RAT};:
CChinJi1cy /,
[JAs Apprc"cd
DAs Per P1an
IJChjmney B ~;;ecl Venl lJOlher
DExis1ing , nNulf,pplir,:,]c
DVariabJe DCther Va]ue -------
DESCRIPTION OF ALL 'VORl\: BEING DONE
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3/02
HVAC Permit Work Card
Job Address 23112315 PATRIOT LN
Permit Number
104671 Create Date 07/23/2003
Owner
MIDWEST GENERAL CONTRACTORS
Contractor BREWER HEATING
Category 502 - Residential-Both
Plan
Fuel ~ ~ I I Electric I ~ ~ Value $8,560.00
System PI New- n Replace 0 Other I
~ Forced Air I U Radiant I U Steam I ~ PJC I U Vent I
U Eiectric I U Hot Water I U Suppl. I U Con- Burner I
Chimney Type 0 Chimney A 0 Chimney B . Direct Vent () Not Applicable
Heat Loss () As Approved () Existing . Not Applicable I Value
BTU Rate () As Per Plan () Variable . Other I Value
Use/Nature DUPLEX/Install HVAC system in new duplex.
a/Work
Inspections:
Type Rough In
Inspector Nicole Krahn
not approved
Date 10/23/03
Date/Time requested:
Notice Type:
Phone Number:
Access:
Ready Date/Time:
Requested By:
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
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Type Final
Inspector John Zarate
approved
Date 12/10/03
r~'~~"
Date/Time requested:
Notice Type:
Phone Number:
12/10/2003 11:20 AM
Access:
Ready Date/Time: 12/10/2003 11 :20 AM
Requested By: Jay
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
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