HomeMy WebLinkAbout0144934-HVAC (1) CITY OF OSHKOSH No 144934
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1320 OAK ST Owner ELENA GONZALEZ - MUNTANER Create Date 02/18/201
Contractor THOMPSON HEATING AND COOLING S Category 500 - Residential- Heating & Ventilating Plan
Fuel u Gas I Oil J Electric Li Solar J Solid
System ❑ New • Replace ✓Other J
u Forced Air ❑ Radiant J Steam J NC ❑ Vent
U Electric Li Hot Water J Suppl. J Con. Burner
it
Chimney Type ) Chimney A 0 Chimney B ❑ Direct Vent • Not Applicable ■
■
I
Heat Loss U As Approved 0 Existing • Not Applicable Value
BTU Rate () As Per Plan ❑ Variable • Other Value
Use /Nature SFR / ADD HEAT TO BASEMENT REMODEL - VENT DRYER
of Work
Fees: Valuation
�/� � $1,000.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: b ' � Date 02/18/201
❑ Permit Voided Parcel Id # 150914010
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
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To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of ! 1<
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.
I'
City of Oshkosh R ' C E I V
Division of Inspection Services
P.O. Box 1130 FEB 1 8 2011 Ao
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050 DEPARTMENT OF
Fax (920) 236 -5084 COMMUNITY DEVELOPMEN HKOJH
INSPECTION SERVICES DIVISI o N 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
** 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 6 7 hf
JOB ADDRESS / j adf
OWNER
CONTRACTOR '7 gaff /7Z---11- 77 /`
CHECK 0 ALL APPLICABLE
USE CATEGORY
E SSingle Family ❑Duplex ❑Multi - Family DRental ❑Commercial ❑Industrial
FUEL [,,Gas DElectric ❑Solid SYSTEM ❑New DReplace
DOH ❑Solar [110ther E.61,40;)6=C__—
TYPE
15korced Air DRadiant ❑Steam DA/C :Went DElectric DHot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED %No DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B DDirect Vent 60ther
HEAT LOSS DAs Approved DExisting HfNot Applicable
BTU RATE DAs Per Plan DVariable PrOther Value
DESCRIPTION / SCOPE OF ALL WORK BEING DONE AND /-
//r 't�Z -'
VALUE (Including labor and materials) $</e 0 -
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) S -7 7 -6
IR
07/07