HomeMy WebLinkAbout0131655-HVAC (furnace) CITY OF OSHKOSH No 131655
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1806 SIMPSON ST Owner DAVID C MUMMELTHIE/DEBORAH J ZWIC Create Date 07/18/2008
Contractor CENTRAL TEMP. EQUIP. SERVICE INC Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar Solid
System ^ New ^/ Replace ~ Q Other
/ Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimne A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature FR /Replace furnace. EIV signed by Seckar Electric.
of Work
Fees: Valuation $2,600.00 Plan Approval $0.00 Permit Fee Paid $49.00
Issued By: ~, yy~0 Date 07/18/2008
^ Permit Voided Parcel Id ~ 1407280000
In the pertormance 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
Agent/Owner
Date
Address 1054 AMERICAN DR NEENAH
WI 54956 -1305 Telephone Number (920) 731-5071
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
~IHK H
ON THE WATER
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 $100.00 plus the
normal permit fee, which ever is greater.
OR ~ ~` -
If you are a contractor narticivatin~ in the Permit fee Account Svstem and have adeguate funds check here
if you want thts processed through your account n
~5~9 00 ~ DAT;E ~ - ~ s-~d'
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USE CATEGORY
I~Single Family ^Duplex ^Multi-Family
FUEL I$IGas ^Electric ^Solid
^Oil ^Solar
TYPE
Forced Air ^Radiant ^Steam ^A/C ^Vent
^Rental ^Commercial ^Industrial
SYSTEM ^New replace
^Other
^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHININEY BEING LINED ]L~LVO OYes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
I
CffiMNEY TYPE ^Chimney A ^Chimney B
HEAT LOSS ^As Approved ^Existing
BTU RATE ^As Per Plan ^Variable
DESCRIPTION OF ALL WORK BEING DONE . ~
^Direct Vent ^Other
^Not Applicable
^Other Value
VALUE (Including labor and all materials including light fixtures) $ oC ~¢ O (~ _ O t~
ELECTRICAL CONTRACTOR ~ ~,~~j/j~,
^ For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
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CHECK Bl ALL APPLICABLE
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