HomeMy WebLinkAbout0142226-HVAC 0 CITY OF OSHKOSH No 142226
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1350 TIMOTHY TRL Owner JEFFERY J /KIRSTEN A PANKAU Create Date 07/14/2010
Contractor THOMPSON HEATING AND COOLING S Category 500 - Residential- Heating & Ventilating Plan
Fuel U Gas U Oil U Electric Li Solar U Solid
System ❑ New I ❑ Replace 4 Other i
u Forced Air u Radiant J Steam ❑ A/C u Vent
LJ Electric Li Hot Water ❑ Suppl. U Con. Burner
Chimney Type 2 , ) Chimney A () Chimney B ❑ Direct Vent • Not Applicable
Heat Loss 10 As Approved 0 ) Existing • Not Applicable Value
BTU Rate I As Per Plan () Variable 9 Other Value
Use /Nature SFR / ADD DUCT FOR BASEMENT REMODEL * *check #2273
of Work
Fees: Valuation $600.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: ( — Date 07/26/2010
❑ Permit Voided I Parcel Id # 1340940000
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 901 OTTER AVE OSHKOSH WI 54901 - 5444 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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 OJHKOJH
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 participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account fl
** 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 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 returned for completion.
DATE -- 2/; 61/0
JOB ADDRESS / 3 4 % I n7
OWNER
CONTRACTOR ,` l VIV S'0A) /477 -77 A-67
CHECK 0 ALL APPLICABLE
USE CATEGORY
Sin Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
FUEL [Gas DElectric DSolid SYSTEM ❑New DReplace
❑Oil ❑Solar pother
TYPE
4Forced Air DRadiant ❑Steam DA/C ❑Vent DElectric Mot Water ❑Suppl. DCon. Burner
IS CHIMNEY BEING LINED ISNo DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B DDirect Vent DOther
HEAT LOSS DAs Approved DExisting ❑Not Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCRIPTION / SCOP9F ALL WORK BEING DONE AD ?U - - 7 j
/g c F - 77Q FAIT % % e-- - 11407z ere--_
VALUE (Including labor and materials) $ i ' 00 r
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07