HomeMy WebLinkAbout0154698-HVAC0
OSHKOSH
ON THE WATER
Job Address 1316 EASTMAN ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Contractor THOMPSON HEATING AND COOLING SI
Inspector John Zarate
No 154698
Owner THOMAS G PUTZER Create Date 03/11/2013
Category 500 - Residential- Heating & Ventilating Plan
Fuel
✓ Gas
El Oil
Electric
Solar _ Solid
System
New
Replace
Other
✓ Forced Air
Radiant _
_Steam �!
A/C Vent
Electric
L Hot Water _
Suppl.
LCon. Burner
Chimney Type
0 ChimneyA
0 Chimney B
0 Direct Vent 0 Not Applicable
Heat Loss
0 As Approved
0 Existing
0 Not Applicable
Value
BTU Rate
0 As Per Plan
0 Variable
Other
Value 45000
Use /Nature 'Multi/ Replace furnace due to fire damage/ all work will meet state and local codes
of Work
Fees: Valuation $4,600.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By:�, Date 03/12/2013
❑ Permit Voided Parcel Id # 1506250000
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
Address 901 OTTER AVE
Agent/Owner
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
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
(0
Of HKO.IH
ON THE WATER
• 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 n
** 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
11-1113
JOB ADDRESS ZdA0 9S7&4 A �
OWNER ��Ii�J PP'72—X--A-
CONTRACTOR f 09�4L60ti A67;7
CHECK ® ALL APPLICABLE
USE CATEGORY
Mingle Family ❑Duplex Multi- Family
FUEL 16Gas ❑Electric ❑Solid
❑Oil ❑Solar
❑Rental ❑Commercial
SYSTEM ❑New
❑Other
❑Industrial
[Replace
TYPE
Lkorced Air ❑Radiant ❑Steam ❑A /C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED KNo ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B $)irect Vent ❑Other
HEAT LOSS DAs Approved [RExisting ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable CKOther Values
DESCRIPTION / SCOPE OF ALL WORK BEING DONE
VALUE (Including labor and materials) $ VZ20
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) 5Z Tc-5-
a7 /o7