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HomeMy WebLinkAbout0143285-HVAC 0 CITY OF OSHKOSH No 143285 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 927 W 8TH AVE Owner ANDREW P BONGERT Create Date 09/23/2010 Contractor OWNER Category 500 - Residential- Heating & Ventilating Plan Fuel ❑✓ Gas LJ Oil L Electric J Solar LJ Solid System 0 New J ] Replace Q Other LJ Forced Air J Radiant LJ Steam LJ A/C LJ Vent Li Electric LJ Hot Water 1 Suppl. I ) Con. Burner Chimney Type ( ) Chimney A O Chimney B O Direct Vent • Not Applicable Heat Loss ( ) As Approved 0 Existing • Not Applicable Value BTU Rate 0 As Per Plan () Variable • Other Value Use /Nature SFR/ LATE PERMIT/ Running hvac ducts from the existing furnace to the 2nd floor. All work shall comply with minimum code of Work requirements. Fees: Valuation Ul--"'/ $400.00 Plan Approval $0.00 Permit Fee Paid $25.00 Issued By: Date 09/23/2010 ❑ Permit Voided I Parcel Id # 0605970000 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 927 W 8TH AVE OSHKOSH WI 54902 - 0 Telephone Number 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 Of HKOJH 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 q-27-10 JOB ADDRESS / z W 3" I OWNER '=j - VV - .. , © • CONTRACTOR CHECK B( ALL APPLICABLE USE CATEGORY iXingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial FUEL gGas ❑Electric ❑Solid. SYSTEM ❑New ❑Replace ❑Oil ❑Solar ❑Other TYPE Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent DElectric ❑Hot Water ❑Suppl. ❑Con. Burner IS CHIMNEY BEING LINED ❑No ❑Yes - LINER SIZE &MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other HEAT LOSS DAs Approved ❑Existing ❑Not Applicable BTU RATE DAs Per Plan ❑Variable ❑Other Value DESCRIPTION / SCO OF ALL WOR> BEING DONE I t of S?CoV f lD 4 rrt4 1, � - d -s .7 ) pr ( "dr — f if //5 fy VALUE (Including labor and materials) $ Lf 0 0 ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) 07/07