HomeMy WebLinkAbout2008-HVAC (a/c condenser)/~'~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 807 OREGON ST Owner ROBERT J MAZZA
No 134147
Create Date 11!21/2008
Contractor ABBY'S HEATING 8 A/C LLC _ Category 511 -Ind. & Comm-Air Conditioning Plan
Fuel Gas ~ Oil _ _ / Electric Solar Solid__ __~
System Q New ~ ~ Replace ~ Other
Forced Air Radiant Steam / A/C Vent
~! ~__
Electric Hot 1Nater ~, Suppl. Con. Burner
- ---
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
--__ __
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Ptan Variable Other Value
Use/Nature OMM (Hobby Town USA) /INSTALL EXTRA A/C CONDENSER AND AIR HANDLER TO SUPPLIMENT EXISTING A/C '"check #2425
of Work
Fees: Valuation $2,800.00 Plan Approval $0.00 Permit Fee Paid $52.00
Issued By: _ ~ Date 11/21/2008
^ -Permit Voided
Parcel Id #0900510000
In the performance of this work, 1 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
Agent/Owner
Address 605 AIRPORT ROAD MENASHA WI 54952 - 0 Telephone Number (920) 720-5794
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 pertormed 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
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
01HKO1H
pN THE WATFR
• 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 participating in the Permit ,t'ee Account System and have adeauate funds check here
i~'you want this processed throwyour account I-1
** Advisory -For applicable projects, an Electrical Installation Verification (EIS form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be retarned for completion. ` ~./
DATE `/ " S~~ ® ?5
JOB ADDRESS
S
CHECK Cd ALL APPLICABLE
USE CATEGORY
^Single Family ^Duplex ^Multi-Family
FUEL ^Gas Electric ^Solid
^Oil ^Solar
C ~-lobby -fow~ U Sp>
^Rental Commercial ^Industrial
SYSTEM ~iew ^Replace
^Other
TYPE
^Forced Air ^Radiant ^Steam ~A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ^No ^Yes -LINER SIZE & MANUFACTURER
Note: Alt chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B ^Direct Vent ^Other
HEAT LOSS ^As Approved ^Existing ^Not Applicable
BTU RATE ^As Per Plan ^Variable ^Other Value
PTION / SCO E OF ALL WORK EING
L Go'ti~~2rs.~~-. -~ /12~z ~.r~.~
~~
VALUE (Including labor and materials)
~- ,
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
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