HomeMy WebLinkAbout0124616-HVAC (ductwork)
e
OSHKOSH
ON THE WATER
Job Address 1015 W 10TH AVE
CITY OF OSHKOSH
No
124616
HVAC PERMIT - APPLICATION AND RECORD
Owner JENNIFER BARBIAN
Create Date 05/03/2007
Contractor CHRISTENSEN HEATING & AlC INC
Fuel U Gas UOil
System D New
U Forced Air U Radiant
U Electric ( 1 U Hot Water
"
Chimney Type D Chimney A () Chimney B
Heat loss o As Approved C) Existing
BTU Rate [) As Per Plan C) Variable
Category 510 -Ind. & Comm-Heating & Ventilating Plan
U Electric
D Replace
U Steam
U Suppl.
C) Direct Vent
U Solar U Solid
D Other
U AlC U Vent
U Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature COMM / Remove & replace ductwork.
of Work
Fees: Valuation
$8,000.00
~
Plan Approval
$0.00
Permit Fee Paid
$130.00
Issued By:
Date 05/03/2007
D Permit Voided I
Parcelld # 1305320000
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
AgenVOwner
Address
1609 W WISCONSIN AVE
APPLETON
WI 54914 -3274 Telephone Number (920) 731-3002
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 ofInspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
(I)"
. .
......~.......................
.'It):'
HV AC 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 VVI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If yOU are a contractor varticipatinf! in the Permit fee Account System and have adequate funds, check here
if you want this vrocessed throuf!h vour account n
DATE 5... ?- -f)?
JOBADDRESS /D/:5 /O-el- ~-f-
OWNER
CONTRACTORChrts-krl.k-.. t+r;..,... /tIc ~L
CHECK 0' ALL APPLICABLE
"Y'
USE CATEGORY
DSingle F~miiy ~. JJDuplex . DMulti-Family .
,,~. <,)i-, ~,-J-\} 'f~.....".<,')l,:
. ._i'~#!5~~~~r9i~I'
(' . [:JIl}gq!itrial
""-j.."~',';'.'-' ;_/t.. ,;) j,;...';'li.,.
,;..J ~;,.
FUEl} i; \} [:lGllS
Don
DElectric. DSQlid' -
DSolar
- SYSTEM
DNew
o Other
DReplace
TYPE
DForced Air DRadiant DSteam DAlC DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
DChimney B
DExisting
DVariable
DDirect Vent o Other
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE V ~ I'Y\N t!-
+ r /2..-/ (eLU-
I
~t.<J~
. i'
(e\~
-4
\1
. VALlIE (I~clliding labor and materials) L!'DOD.. ~ .
ELECTRI,CAI" CO~T~CTOR .
.__,"'.,J, H. .' ,..,-,L'.....i;t. .~, !.:.:~:;.:~':r .... /......_ ',', " '
DFor~pplicable proJects, an Electric Installation Verification form., signed by the ElectriCl:)lCo,ntractor, must be
attached. If not attached or not applicable, a separate Electrical Perinit is r~quired. ~ . : ~.' .. . . . ~;: · .
~ 1- (? !I]D'~
f~' ~,. fC.e.-. 10104