HomeMy WebLinkAbout0156690-HVAC (furnace) � CITY OF OSHKOSH No 156690
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2056 MENOMINEE DR Owner JAMES B MCCLANAHAN III/LISA P GOTLII Create Date 07/15/2013
Contractor HOMETOWN HEATING 8�COOLING Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric I Solar Solid
System � New � �✓ Replace ! � Other �
Forced Air Radiant � Steam � A/C � Vent
Electric Hot Water Suppl. __j Con. Burner
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable I VI lue
BTU Rate As Per Plan 0 Variable � Other � Value
Use/Nature iSFR/replacing fumace �
of Wo�k '
i
I
�
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: ��, Date 07/15/2013
❑ Permit Voided � Parcel Id#1512060000
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 sec nece ary ap rovals before starting such activity.
Signature �� Date
AgenUOwner
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 of Oslikosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1 1 30
Phone(920)236-5050
Fax (920)236-5084 Of HK01H
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
1}'vou are a contractor participating in the Permit fee Accourat Svstem and have adeguate funds check here �
if vou want this nrocessed throu�voz�r account �I
**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)must be snbmitted
with the permit application. Applications snbmitted without an EIV when such is required, will not be
processed for Permit Issnance and will be returned for completion.
DATE ����J' /3
JOBADDRESS������g �x�p.riowl�/�iP,�, I.�r.
OWNER�[�S A /'YY���Y)�'i It�IL1
CONTRACTOR� oa,./n�f„�4a t� �n�_
CHECK�ALL APPLICABLE
USE CATEGORY
.�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL �'C'as ❑Electric ❑Solid SYSTEM ❑New �eplace
❑Oil ❑Solar ❑Other
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 ❑Chimney A ❑Chimney B ,�irect Vent ❑Other
HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable ,
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE /Q.�n�,�,� �b �o n, e�_nIGY �d��.�
��: � n,o_�c/ '�`vr!)lfC.p�.
�
VALUE(Including labor and materials) $_���Q� �
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) ����,,� �`��r
o�/o�