HomeMy WebLinkAbout0156564-HVAC (a/c) � CITY OF OSHKOSH No 156564
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1709 MINNESOTA ST Owner ARTHUR E SHATTUCK IV/SHAUNA M SCF Create Date 07/08/2013
Contractor A&BE HEATING AND COOLING Category 501 -Residential-Air Conditioning Plan
Inspector Nicole Krahn
Fuel Gas Oil Electric Solar Solid
System ❑✓ New � � Replace � � Other
Forced Air Radiant Steam ✓ A/C Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A � Chimney B 0 Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable � Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature SFR/new A/C unit installation
of Work
Fees: Valuation $2,960.00 Plan Approval $0.00 PermitFee Paid $62.00
Issued By: -�� Date 07/08/2013
� Permit Voided j Parcel Id#1404030000
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 s any necessary provals before starting such activity.
Signature ���!'t �� Date � ���
AgenUOwner
Address 1303 MIDWAY RD MENASHA WI 54952 -1129 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. U�less 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 54903-1 1 30
Phone(920)236-5050
F� (920)236-5084 Of HKO.IH
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 vou are a contractor participating in the Permit fee Account Svstem and have adeguate funds, check here
if vou want this processed throu�vour account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted
with the permit application. Applications snbmitted withont an EIV when such is reqnired, will not be
processed for Permit Issnance and will be retarned for completion.
DATE �'��I�
JOB ADDRESS ��/1 � 1�i�f'!(,fY'�7�i` �7_r
OWNER t�-/'�lik� S�to // ltG k-
CONTRACTOR 1T� /) � ^ 24T.^�' -�i s A �'���
CHECK�ALL APPLICABLE
USE CATEGORY
C�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL �as ❑Electric ❑Solid SYSTEM ew ❑Replace
❑Oil ❑Solar �ther
TYPE
�'orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED �No ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE �himney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS As Approved ❑Existing ot Applicable
BTU RATE ❑As Per Plan ❑Variable Other Value
DE CRIPTION/SCOPE OF ALL WORK BEING D E � ��'' �ef���'�
/L f . �� e�d ��. �li v� t� •�
� �
VALUE(Including labor and materials) $ �i �
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) �/�/ �C�
o�/o�