HomeMy WebLinkAbout0152831-HVAC CITY OF OSHKOSH No 152831
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3132 QUAIL RUN DR Owner JAMES&IRENA HERGERT Create Date 06/14/2012
Contractor ANDRESEN SHEET METAL _ Category 502-Residential-Both Plan
Inspector Nicole Krahn
Fuel Gas LI Oil Electric J Solar U Solid
System 0 New Replace [] Other
H Forced Air Q Radiant J Steam H A/C Vent JI
Electric Hot Water lJ Suppl. Li Con.Burner
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent O Not Applicable
Heat Loss 0 As Approved O Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use/Nature NSFR/INSTALL NEW HVAC SYSTEM TO INCLUDE FURANCE,A/C, DUCT AND VENTING FOR NEW HOME **check#3938
of Work
Fees: Valuation I– ) $13,491.00 Plan Approval $0.00 Permit Fee Paid $195.00
Issued By:8n1 L " Date 10/08/2012
Permit Voided] Parcel Id#0660220000
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.Signatur \`-� �' Date \,Q\�Vra'-
Agent/Owner
Address 2913 WITZEL AVE OSHKOSH WI 54904 -6539 Telephone Number (920)233-0323
•
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.
�C
City
vi oOfInsp
Division o Inspection of ection Services
P.O.Box 1130
' 411161,
Oshkosh,WI 54903-1130 •
Phone(920)236-5050
Fax (920)236-5084 • •TAI(SJ/i
HVAC PERMIT APPLICATION ` •
All information after bold categories must be provided..
Acts 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 permits)will result in fees.being doubled or$100.00 plus ti
normal permit fee,which ever is greater. 0
OR ,
If you are a contractor narttcjpatiat in the Pergiling Account System and have adequate funds 'heck hei
If you want-tkiapr+ceseed..throMgh.your aacounf fl
/ DATE /D -- /o'--
JOBADDRESS �� .- Qvo� ��✓
OWNER .
CONTRACTOR d'2 L J 7J S ' " /1 `r7-
CHECK @I ALL APPLICABLE
USE CATEGORY `
Mingle Family °Duplex OMulti Family °Rental °Commercial (industrial
FUEL L}Gas OBleotric °Solid SYSTEM ever CIReplace
°Oil ClSolar °Other
TYPE
forced Mr °Radiant .,°Steam .I C Mont. °Electric °Hot Water OSuppl. °Con.Burner
■
IS CHIMNEY BEING LINED ONo Oyes -LINER SIZE AO- &MANUFACTURER ,41
Note:All chimneys shall be sized per the.BTU's being vented.
CHIMNEY TYPE Cl A . °Chimney.B J1 rect Vent DOtber
HEAT LOSS js Approved 'DExisting °Not Applicable ..5,10./
BTU RATE •UAs Per Plan °Variable ClOther Value JO-o 9'572 4t/ Tit
DESCRIPTION OF ALL WORK BEING DO Ec..1 Co( — �cxT .�
VALUE(Including labor and all nsaterl*-ttgcluding light rent')$ 4.1
ELECTRICAL.CONTRACTOR �rCY t�
0 For applicable projects,an Electric Installation Verification form,signed by 0ib Bleotrical Goatragtor,must be
attached. If not attached or not applicable,a separate Bleariest Permit is required.