HomeMy WebLinkAbout0105441 H105441
CITY OF OSHKOSH
No
OSHKOSHHVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
B MICHAEL SAMMONS ETAL
Job AddressOwner
3084 LAKE REST LN
Create Date06/06/2003
ContractorRASMUSSEN'S HEATING & A/C INCCategory500 - Residential-Heating & VentilatingPlan
OilElectric
üü GasSolarSolid
Fuel
New üü ReplaceOther
System
Forced Air üü RadiantSteamA/CVent
Electric üü Hot WaterSuppl.Con. Burner
Chimney TypeChimney AChimney BDirect VentNot Applicable
Heat LossAs ApprovedExistingNot ApplicableValue0
As Per PlanVariableOther
BTU RateValue80m
Use/Nature
SFR/ Install a boiler.
of Work
Plan Approval$0.00
Fees: Valuation$2,250.00Permit Fee Paid$39.50
Issued By:Date11/21/2003
Permit Voided
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.
SignatureDate
Agent/Owner
Address5154 DAVID DROSHKOSHTelephone Number920-235-6569
WI54904-8850
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.