HomeMy WebLinkAbout0146858-HVAC (1) CITY OF OSHKOSH No 146858
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 811 DOVE ST Owner CHADD HUISMAN Create Date 05/26/2011
Contractor THOMPSON HEATING AND COOLING S Category 500 - Residential- Heating & Ventilating Plan
Inspector Nicole Krahn
Fuel U Gas LJ Oil U Electric ❑ Solar LJ Solid
System Q New [] Replace ❑ Other
u Forced Air L Radiant J Steam J A/C u Vent
❑ Electric Hot Water LJ Suppl. Con. Burner
Chimney Type 0 Chimney A O Chimney B • Direct Vent O Not Applicable
Heat Loss • As Approved O Existing O Not Applicable Value
BTU Rate 0 As Per Plan O Variable • Other Value 54,000
Use /Nature NSFR / NEW FURNACE, GAS PIPE, DUCTWORK AND FRESH AIR FOR NEW HOME * *check #2595
of Work
Fees: Valuation $4,600.00 Plan Approval $0.00 Permit Fee Paid $79.00
Issued By: 5In� Date 07/18/2011
V ❑ Permit Voided Parcel Id # 1603410000
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 O.IHK01H
Fax (920) 236-5084
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 7/1/11
JOB ADDRE S O �I /./die
OWNER /Si(/f /-1"4J /4114 �S
CONTRACTOR ; t,;4 0 A 44-
CHECK El ALL APPLICABLE
USE CATEGORY
Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
FUEL was ❑Electric ❑Solid SYSTEM i?New DReplace
❑Oil DSolar DOther
TYPE
Forced Air ❑Radiant ❑Steam DA/C ❑Vent DElectric ❑Hot Water ❑Suppl. DCon. Burner
IS CHIMNEY BEING LINED lo DYes - 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 KAs Approved DExisting ❑Not Applicable
BTU RATE DAs Per Plan DVariable KOther Value 67'U
DESCRIPTION / SCOPE OF ALL WORK BEING DONE /IS t
,Iv.
/yLCs Ii1=
VALUE (Including labor and materials) $ i6- 7b
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07