HomeMy WebLinkAbout0154056 - HVAC (furnace) 0 CITY OF OSHKOSH No 154056
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1902 SIMPSON ST Owner WILLIAM&MARY LLC Create Date 01/02/2013
Contractor THOMPSON HEATING AND COOLING SI Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel LI Gas FT oil _ Electric U Solar Li Solid
System [ New Replace Other
0 Forced Air Radiant Li Steam jj A/C ErVent
0 Electric H Hot Water 1 'J Suppl. Q Con.Burner
Chimney Type 00 Chimney 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss Q As Approved 0 Existing • Not Applicable Ji Value
BTU Rate 0 As Per Plan 0 Variable • Other Value 45,000
Use/Nature SFR(RENTAL)/INSTALL FURANCE,DUCTWORK **check#3022
of Work
Fees: Valuation $3,600.00 Plan Approval $0.00 Permit Fee Paid $78.00
Issued By: ThYIGt) Date 01/02/2013
❑ Permit Voided J Parcel Id#1409760000
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
(4111-61)
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 O.fHKOJH
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 1///3
JOB ADDRESS l l`2 �fA'pScU,--"
OWNER/, (74-ai /i11_e _c/ (7(f_._
CONTRACTOR 1-6L.e )S� 7 771 .1
CHECK 171 ALL APPLICABLE
USE CATEGORY
IgSingle Family ❑Duplex ❑Multi-Family V'Rental ❑Commercial ❑Industrial
FUEL , Gas ❑Electric 0 Solid SYSTEM ❑New TiReplace
❑Oil ❑Solar DOther
TYPE
Forced Air DRadiant 0 Steam DA/C ❑Vent DElectric DHot Water ❑Suppl. 0 Con. Burner
IS CHIMNEY BEING LINED 1/(No ❑Yes -LINER SIZE &MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A DChimney B l irect Vent DOther
HEAT LOSS DAs Approved DExisting DNot Applicable
BTU RATE DAs Per Plan DVariable DOther Value 4L tJ�c
DESCRIPTION/SCOPE OF ALL WORK BEING DONE. ,3r -Le___ —
.�.'er�T"Lcr
VALUE (Including labor and materials) $ ctZ)
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07