HomeMy WebLinkAbout0154446 - HVAC - no permit/ HVAC unit installed) �"� CITY OF OSHKOSH No 154446
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1802 N MAIN ST Owner DOMINIC J/AMANDA S MANCL Create Date 02/11/2013
Contractor OWNER _ _ Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel I✓ Gas J Q Oil J I j Electric 1 I Solar Solid
System ❑ New I n Replace n Other
Q Forced Air_7 _J Radiant _J Steam J _I A/C ErVaInt
Li Electric i I j Hot Water 1 Li Suppl. j Con. Burner i
Chimney Type Chimney A 0 Chimney B • Direct Vent 0 Not Applicable J
Heat Loss As Approved 0 Existing • Not Applicable Value
BTU Rate 0 As Per Plan _ 0 Variable 0 Other Value
Use/Nature SFR/***work without permit late fee added***/HVAC unit installed in house-Wesley Heating did the install on the furnace.
of Work
Fees: Valuation $2,467.00 Plan Approval $0.00 Permit Fee Paid $130.00
Issued By: Date 02/13/2013
❑ Permit Voided I Parcel Id#1503830000
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 ecure_any neces ry approvals before starting such activity.
Signature Date9 / .?1/4
�
Agent/Owner
Address OSHKOSH WI 54901 -0 Telephone Number
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
Oshkosh,WI WI 54903-1130
l30
#11C41111111—Drill
Phone(920)236-5050
Fax (920)236-5084 OfH<O.1H
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 ,27//3/73
JOB ADDRESS /9-042`
OWNER Q 2/71(1''7 IL / cGC�tC
CONTRACTOR k&-6/e.-7- /*-‘it 7:://19'
CHECK iZi ALL APPLICABLE
USE CATEGORY
[mingle Family ❑Duplex ID Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL bias DElectric DSolid SYSTEM DNew l Replace
❑Oil DSolar DOther
TYPE
E fiorced Air DRadiant ❑Steam ❑A/C ❑Vent DElectric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED ❑No DYes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A DChimney B INDirect Vent DOther
HEAT LOSS DAs Approved DExisting ❑Not Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
VALUE (Including labor and materials) $
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07