HomeMy WebLinkAbout0154359 - HVAC (furrnace) 0 CITY OF OSHKOSH No 154359
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 806 808 OREGON ST Owner RICHARD L CHRISTL Create Date 01/29/2013
Contractor CHRISTENSEN HEATING&NC INC Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel ❑ Gas ❑ Oil 1 ❑ Electric 1 Solar Solid 1
System ❑ New 1 ❑ Replace ❑ Other —
Forced Air 1 ] Radiant Steam 1 L A/C Vent
❑ Electric -1 ❑ Hot Water Er Suppl.-_ _-_ Con. Burner
Chimney Type • Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss • As Approved 0 Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use/Nature COMM(806 OREGON ST)/REPLACE FURNACE, ELECTRICIAN IS SCHMIDT ELECTRIC "check#63346,63364
of Work
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: air)lit— Date 02/06/2013
❑ Permit Voided I Parcel Id#0301000000
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 1609 W WISCONSIN AVE APPLETON WI 54914 -3274 Telephone Number (920)731-3002
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.
Ste'
City oOfInsh
011111111"
Division si o
on of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050 j(�
Fax (920)236-5084 Of�\\1f
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account 17
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE ZS ° 1
JOB ADDRESS 0 10 0 11,i^►
OWNER i/C., CYO t"5i-e. ( _
CONTRACTOR C c�J !'1SC7,� /c �F7
CHECK Ga.ALL APPLICABLE
USE CATEGORY
El Single Family 0 Duplex ❑Multi-Family ❑Rental 04Commercial ❑Industrial
FUEL Si Gas DElectric ❑Solid SYSTEM ❑New OReplace
DOil ❑Solar ❑Other
TYPE
OForced Air DRadiant ❑Steam ❑A/C ❑Vent DElectric DHot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED1/No ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B Direct Vent ❑Other
HEAT LOSS DAs Approved DExisting ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable DOther Value_
DESCRIPTION/SCOPE OF ALL WO K BEING DONE
T s- 'A.110-0 6 e.d b c�-6eYnx��- ; J Q I
T.-v.•i J e
trx_e' -- vl,vw :
VALUE(Including labor and materials)$ 3 bao
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) S ,vww&i 1 r".
07/07