HomeMy WebLinkAbout0134286-HVAC (chimney cap)/~ CITY OF OSHKOSH No 134286
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 449 459 HIGH AVE Owner ST PETERS CONG Create Date 12/05/2008
Contractor O'NEILL ENTERPRISES INC Category 510 -Ind. &Comm-Heating & Ventilating Plan
Fuel Gas Oil Electric [Solar ; ^ Solid
System ^ New ~ ^ Replace _~ [] _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
of Work
chimney cap.
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: ~j ~y~ Date 12/05/2008
^ Permit Voided
Parcel Id # 0102790000
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
Agent/Owner
Address 522 W 6TH AVE OSHKOSH WI 54902 - 5916 Telephone Number 230-2007 (office)
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.
12/05/2008 11:08 FA% 19202302008 ONEILL ENTERPRISES
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-i 130
Phone (920)236-5050
Fax (920)236-5084
HVAC PERMIT APPLICATI.OId
All information after bold categories must be provided.
Incomplete applications will not be processed.
I~jool/o02
4
• 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
** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must lie submitted
wiitlt the permit application. Applications submitted without an EIV when sash is regnir+ed, will not be
processed for Permit Issuance and w~l~ be ncturned for completion.
DATE /
USE CATTiGORY
Single Family ^Duplex t]Multi-Family ^Rental .Commercial OIndustrial
FUEL DGas ^Electric OSolid SYSTEM DNew Replace
DOiI DSolar DOther
TYPE
^Forced Air ORadiant OSteam DA/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ^No DYes --LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the B.TU's being vented.
CHIMNEY TYPE DChitnney A OChimney B DDirect Vent Other
HEAT LOSS DAs Approved OExisting ONot Applicable
BTU RATE DAs Per Plan DVariab[e ^Other Value
OF ALL WORK BEING DONE
VALUE (Including labor and materials) $ ` )~~U
ELECTRICAL CONTRACTOR (for projects not requiring as ETV Form)
o~~o~
CHECK ~ ALL APPLICABLE