HomeMy WebLinkAbout0153716 - HVAC (furnace/ AC) 0 CITY OF OSHKOSH No 153716
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1730 W 5TH AVE Owner FEDERAL NATIONAL MORTGAGE ASSOC Create Date 11/27/2012
Contractor N E W MECHANICAL LLC Category 502-Residential-Both Plan
Inspector Nicole Krahn
✓ Gas Oil Electric Solar Solid 1,
Fuel U � 1 ❑ ___ i
System ❑ New I ❑ Replace I Q Other
✓j Forced Air _J Radiant Steam J �C ErVe nt
Electric H Hot Water Suppl. LI Con. Burner
Chimney Type Chimney A O Chimney B O Direct Vent • Not Applicable 1
Heat Loss As Approved Existing Applicable PP � g Not A--- �__ PP Value
BTU Rate 0 As Per Plan 0 Variable • Other Value 80,000
Use/Nature SFR/REPLACE FURNACE AND A/C **check#3083
of Work
Fees: Valuation
� ��, $3,500.00 Plan Approval $0.00 Permit Fee Paid $62.50
j+ „ w)
Issued By: 5 Date 11/27/2012
Q Permit Voided I Parcel Id#0613130000
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 ne alp. -•'=ls before starting such activity.
Signature .% --■1Imor
Date / /— -7'/oL
Agent/Owner
Address 1021 MAYER ST MENASHA WI 54952 -1816 Telephone Number 920-850-3902
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 416y)
Phone(920)236-5050
Fax (920)236-5084 OfHKOJH
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account EL
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE / - 2 7 - 1Z
JOB ADDRESS 30 G-, 5-4 .rlve
OWNER '
CONTRACTOR N,a-, /,/, /er,-c./4„, / LL C_
CHECK lZi ALL APPLICABLE
USE CATEGORY
,t,$ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL AgGas ❑Electric ❑Solid SYSTEM ❑New DReplace
DOil ❑Solar ❑Other
TYPE
• orced Air DRadiant 0 Steam ❑A/C ❑Vent DElectric ❑Hot Water ❑Suppl. DCon. Burner
IS CHIMNEY BEING LINED XNo DYes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent DOther
HEAT LOSS DAs Approved OExisting ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable Other Value G9,G' 'O b/4f
DESCRIPTION/SCOPE OF ALL WORK BEING DONE r, t i l,r
VALUE (Including labor and materials) $ 3
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07