HomeMy WebLinkAbout0145507-HVAC (a/c) 0 CITY OF OSHKOSH No 145507
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 719 MOUNT VERNON ST Owner DOUGLAS /MARINA A BRATLEY Create Date 04/15/2011
Contractor D & S HEATING AND COOLING Category 501 - Residential -Air Conditioning Plan
Fuel I I Gas 1 I Oil Li Electric U Solar 1 U Solid
System n New 1 n Replace 1 n Other
u Forced Air u Radiant n Steam u NC Li Vent
Li Electric U Hot Water U Suppl. 1 1 Con. Burner
Chimney Type C) Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss C) As Approved 0 Existing • Not Applicable Value
BTU Rate O As Per Plan 0 Variable • Other Value
Use /Nature SFR\ Installing 4 ton NC unit for Sears
of Work
Fees: Valuation $9,888.00 Plan Approval $0.00 Permit Fee Paid $160.00
Issued By: a/yx,oy Date 04/18/2011
E Permit Voided Parcel Id # 1000160000
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 W1418 TOWN HALL DR PULASKI WI 54162 -7517 Telephone Number
p (920) 660 -0097
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 0f1 10/1
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 n
** 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 4' ` / �` //
ADDRESS 7/ I / 1/ i 0/7 s/.
OWNER /'VgP ,J)qI / 'c L/P RE CJVE D
CONTRACTOR � i/P- q'k`✓J, APR 1 8 2011
CHECK ® ALL APPLICABLE � DEPMR i iVIEN OF
COMMUNITY DEVELOPMENT
USE CATEGORY INSPECTION SERVICES DIVISION
,Single Family ❑Duplex DMulti-Family DRental ❑Commercial ❑Industrial
FUEL Gas DElectric DSolid SYSTEM ,l New ❑Replace
❑Oil DSolar DOther
TYPE
❑Forced Air ❑Radiant ❑Steam ,A/C ❑Vent ❑Electric ❑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 DDirect Vent DOther
HEAT LOSS DAs Approved DExisting ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable DOther Value
DESCRIPTION / SCOPE OF ALL WORK BEING DONE r7sh // C/- 762/2
VALUE (Including labor and materials) $ 151g)
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ( < _Sic . /- ) „s
07/07