HomeMy WebLinkAbout0124493-HVAC
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OSHKOSH
ON THE WATER
Job Address 1214 W 6TH AVE
CITY OF OSHKOSH
No
124493
HVAC PERMIT. APPLICATION AND RECORD
Owner DIANNA M GRIESBAUM
Create Date 0311412007
Contractor CUSTOM HEATING & COOLING
Fuel U Gas UOil
System D New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss () As Approved () Existing
BTU Rate D As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
D Replace
U Steam
U Suppl..
o Direct Vent
U Solar U Solid
D Other
U AlC U Vent
U Con. Bumer
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFRI Converting the existing attic area into a master bedroom, closet and bathroom. A minimum of 7' ceiling height is required for 50% of
of Work he floor area. 8% light and 3.5% ventilation is required for the bedroom. InstaJI heat duct and air retum.
Fees: Valuation
$750.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
~
Date 04/30/2007
D Permit Voided I
Parcelld # 0609720000
In the performance of this work, I agree to perform all work pursuant to rules goveming 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
1503 SOUTH MAIN STREET
OSHKOSH
WI 54902 - 0
Telephone Number (920) 235-7263
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
Division of Inspection Services
P.O. Box 1130 ~
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
O{t!QtH
HVAC PERMIT APPLICATION
All 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,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or SIOO.OO plus the
normal permit fee, which ever is greater.
OR
If vou are a contra t r r' i tin in h P r i ee stem and h v heck here
if vou want this pr9c~ssed through \lour account 0
Irt/d 'A) ~d ~~
JOB ADDRESS / c7/ T. . tAJ U7 T
OWNER PQe:- ~;
cONTRAcroa c1tld~ ~"P7f:&r
CHECK if ALL APPLICABLE
USE CATEGORY
OSingle Family ODuplex DMulti-Family
DATE
ORental
OCommercial
OIndustrial
FUEL
OGas
DOil
DElectric DSolid
o Solar
SYSTEM
aNew
OOther
OReplace
TYPE
OForced Air ORamant OSteam ONe OVent DElectric OHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chimneys sball be sized per the BTIJ's being vented.
& MANUFACTURER
CBIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
OAs Approved
OAs Per Plan
OChimney B
OExisting
OVariable
ODirect Vent ClOther
DNot Applicable
DOther Value
DETONOFALL~GD. ONE
. ~ ----~
~~
-
VALUE
,$ ~~ cn::.>
;Jt/t/Cj3
ELECTRICAL CONTRACTOR -- --
o For applicable projects, an Electri~ Installation Verification fonn, signed by the Ele~triC 1 c.ontractor. must be
attached. If not attached or not apphcable, a separate Electrical Permit is required.
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9/02