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HomeMy WebLinkAbout0154684 - HVAC (basement remodel) (9 CITY OF OSHKOSH No 154684 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1827 MITCHELL ST Owner ETHON M KRUEGER Create Date 03/08/2013 Contractor HOMETOWN HEATING&COOLING Category 500-Residential-Heating&Ventilating Plan Inspector John Zarate Fuel U Gas ❑ Oil Li Electric 7 I j Solar 7 Liirolid System ❑ New J a Replace ❑ Other III—Forced Air I ❑❑-Radiant J ❑-Steam NC 1 Vent U Electric —I Hot Water - 7 Suppl. J U Con. Burner Chimney Type 'p Chimney O Chimney B rect Vent � Di • Not Applicable I Heat Loss 5s Approved 0 Existing • Not Applicable Value BTU Rate ----- p As Per Plan O Variable 0 Other Value Use/Nature SFR/BASEMENT REMODEL -CHANGE DUCTWORK TO ACHIEVE 6'4"HEAD CLEARENCE **check#2029 of Work Fees: Valuation $1,000.00 Plan Approval _ $0.00 J Permit Fee Paid $30.00 Issued By: 7 (,.�\ Date 03/08/2013 ❑ Permit Voided Parcel Id#1217680000 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 an ,eces approvals before starting such activity. Signature _ Date Agent/Owner Address 5518 REIGHMOOR RD _ OMRO WI 54963 -9439 Telephone Number 920-379-9940 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 oOfnsh Division o I on of Inspection Services P.O.Box 1130 Oshkosh,WI 54903-1130 Phone(920)236-5050 Fax (920)236-5084 OJHKOJH 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 (1 **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 3- 8- JOB ADDRESS 1 D7 !•r�n t fat II 5" OWNER c' S A 11 r' eLL qtl_( T J CONTRACTOR boe or, Fietri-:n` ('c ( (13 CHECK WI ALL APPLICABLE USE CATEGORY IS-Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial FUEL FIGas DElectric DSolid SYSTEM ❑New DReplace ❑Oil ❑Solar ❑Other TYPE !Forced Air ❑Radiant ❑Steam DA/C ❑Vent DElectric DHot Water ❑Suppl. ❑Con.Burner IS CHIMNEY BEING LINED Flo ❑Yes -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 DExisting DNot Applicable BTU RATE DAs Per Plan DVariable DOther Value DESCRIPTION/SCOPE OF ALL WORK BEING DONE C`lpn x C jt. of k , ) CV6 ,ue Co' y " he pd. gkACtAiNjt VALUE (Including labor and materials) $ 1000 . ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) 07/07 V4- a©a0(