HomeMy WebLinkAbout2013-HVAC (re-duct basement) el) CITY OF OSHKOSH No 155234
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 155 N SAWYER ST Owner FOSSO/GELHAR Create Date 04/09/2013
Contractor A&BE HEATING AND COOLING Category 510-Ind.&Comm-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel ✓ Gas f ❑ Oil 1 ❑ Electric 1 f Solar 1 rlolid 1
System n New J n Replace ❑ Other
Forced Air u Radiant 1 U Steam Q A/C Vent
U Electric I Hot Water ❑ Suppl. ❑Con. Burner]
Chimney Type Chimney A 0 Chimney B • Direct Vent O Not Applicable
Heat Loss As Approved O Existing • Not Applicable Value
BTU Rate As Per Plan O Variable • Other Value
Use/Nature COMM\Removing ductwork that is installed on the 1st floor and re-ducting through the basement. Not installing new furnace or AC
of Work units at this time.
1
Fees: Valuation $2,400 :. Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: A, -,, , Date 04/24/2013
❑ Permit Voided Parcel Id#0608770100
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit ap.• -tion within an eas-•• City strongly urges the permit applicant to contact the easement
holder(s)a • sary appr.j-1 - = starting such activity.
Signature ` Date 41/-2.(/-.2A::$)
Agent/• ner
Address 1303 MIDWAY RD MENASHA WI 54952 -0 Telephone Number 920-268-4966
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
411/II)
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OfHKOJH
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 y' 2"i -
JOB ADDRESS Ls C--��'4-1 ""7--
OWNER
CONTRACTOR 4' -7r /LA tr."-)
CHECK 10 ALL APPLICABLE
USE CATEGORY
El Single Family ❑Duplex ❑Multi-Family ❑Rental L'ommercial ❑Industrial
FUEL DElectric ❑Solid SYSTEM ❑New :Replace
C9Oil ❑Solar ❑Other
TYPE
Elgirced Air DRadiant ❑Steam ❑A/C ❑Vent DElectric :Mot 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 ❑Chimney B ❑Direct Vent DOther
HEAT LOSS DAs Approved DExisting ❑Not Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE 0--11:)0 E 7c`
}--r2o•-'N L_'Ue'l Ar-N7 �d '�S i/�+(/�� 04-7.-
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VALUE (Including labor and materials) $ Z11/4/13'C)
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07