HomeMy WebLinkAbout0155150 - HVAC (install heat runs) (9 CITY OF OSHKOSH No 155150
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 360 FOSTER ST Owner DANIEL J KECLIK/ERIN M WALEN Create Date 04/18/2013
Contractor HOMETOWN HEATING&COOLING Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel U Gas ❑—Oil Li Electric Solar ] ❑ Solid ii
System ❑ New J ❑ Replace _1 ❑ Other
U Forced Air Radiant 1 ❑ Steam ❑ A/C 1 Vent
Electric I Hot Water J ❑ Suppl. ❑ Con. Burner J
Chimney Type
❑ Chimney A ❑ Chimney B ❑ Direct Vent • Not Applicable
Heat Loss • As Approved O Existing • Not Applicable Value
BTU Rate O As Per Plan 0 Variable • Other Value
Use/Nature SFR/INSTALL 5 HEAT RUNS AND 1 RETURN **check#2039
of Work
Fees: Valuation $1,000.00 Plan Approval _ $0.00 Permit Fee Paid $30.00
Issued By:
a ' � Date 04/18/2013
❑ Permit Voided Parcel Id#0608702000
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 LI^‘&^)3
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.
V c2O3C
City of Oshkosh
Division of Inspection Services
P.O.Box
Oshkosh,WI WI 54903-1130
(116111)
Phone(920)236-5050
Fax (920)236-5084 OJHKOfH
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
Ifyou are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account ft
**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 14'1
JOB ADDRESS _? O ( 054 C/' St
OWNER DA rJ ke c-1 �{
CONTRACTOR omneTc p3
CHECK®ALL APPLICABLE
USE CATEGORY
EiSingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL Gas DElectric DSolid SYSTEM ❑New DReplace
DOil ❑Solar DOther
TYPE
LEForced Air DRadiant ❑Steam ❑A/C DVent DElectric ❑Hot Water ❑Suppl. DCon. Burner
IS CHIMNEY BEING LINED I No DYes -LINER SIZE & MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A DChimney B DDirect Vent DOther
HEAT LOSS DAs Approved ❑Existing ❑Not Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE "ns+A1k S Lt_pf S 5
On �+tntod
VALUE (Including labor and materials) $ 1& O• `�
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07
\14 .7039