HomeMy WebLinkAbout0122072-HVAC
o
OSHKpSH
ON THE WATER 4
Job Address 1058 BISMARCK AVE
CITY OF OSHKOSH
No
122071
HVAC PERMIT - APPLICATION AND RECORD
Owner DANIEL W KELM/ERIN E REINKE
Create Date 10/02/2006
Category 500 - Residential-Heating & Ventilating
Plan
Contractor
THOMPSON HEATING AND COOLING S
System
I J Gas
o New
U Forced Air
U Electric
Chimney Type () Chimney A
UOil
U Solar U Solid
o Other
U AlC U Vent
U Con. Burne.!J
. Not Applicable
U Electric
o Replace
U Steam
ITSuppl.
() Direct Vent
Fuel
BTU Rate
K:) As Approved
o As Per Plan
U Radiant
U Hot Water
C) Chimney B
() Existing
() Variable
Heat Loss
. Not Applicable
. Other
Value
Value
Use/Nature SFR/ Finishing a portion of the unfinished basement to include a family room, bedroom and bathroom.
of Work
$25.00
Fees: Valuation $1,000.00
Issued By: (~
Plan Approval
$0.00
Permit Fee Paid
Date 10/16/2006
D Permit Voided I
Parcelld # 0608700400
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 n uthority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit ication ithin an easement, th it trongly urges the permit applicant to contact the easement
holder(s) and to se s ary approvals before st . g such activity.
Signature
Date
/op~~
~
Address
901 OTTER
OSHKOSH
WI 54901 - 0
Telephone Number 920-426-3095
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, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THE WATER
HVAC PERMIT APPLICATION
AIl 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If yOU are a contractor participatin!! in the Permit fee Account System and have adequate funds. check here
if you want this processed through your account n .
JOB ADDRESS ,/{J~.g
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DATE
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.
OWNER
CONTRAcroR~lv/?0l'-1 ~/0 /,C~~~
CHECK m ALL APPLICABLE
~~ CATEGORY
~ingle Family DDuplex
DMulti-Family
DRental
DCommercial
DIndustrial .
FUEL
J!9oas
DOil
DElectric DSolid
DSolar
SYSTEM
DNew
~Other
DReplace
TYPE
~orced 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 DChimney A DChimney B DDirect Vent DOther
HEAT LOSS DAs Approved DExisting DNot Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCIqPTlON OF. AL. L WORK BEING DONE. ~~ 72 GWltJDFf-
. ,El'[)7)(A..4y OV~~'7'Z-~ ._ . .
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to ~
'0\ \"~ \
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VALUE
ELECTRICAL CONTRACTOR
o For applicable projects, an Electric mstallation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02