HomeMy WebLinkAbout0156872-HVAC (furnace & a/c) � CITY OF OSHKOSH No 156872
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1140 W 19TH AVE Owner DOUGLAS WENZEL ETAL Create Date 07/25/2013
Contractor DENNIS GEHRT HEATING INC Category 502-Residential-Both Plan
Inspector Nicole Krahn
Fuel ✓ Gas � Oil Electric Solar Solid �
System � New I � Replace I � Other �
✓ Forced Air j Radiant Steam � A/C Vent
Electric Hot Water Suppl. Con.Burner
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature SFR/REPLACE FURNACE AND A/C, ELECTRICIAN IS CUMINGS ELECTRIC "check#17079
of Work �
I
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By: ��j� Date 07/25/2013
❑ Permit Voided I Parcel Id#1311640000
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 n cessary approvals befo startin such activity.
Signature �—%?� .�%z� Date ��S—��
AgenUOwner
Address 7379 CARDEN DRIVE NEENAH WI 54956 -0 Telephone Number 725-6063
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,WI54903-1130
Phone(920)236-5050
F� (920)236-5084 Of HKOlH
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$100.00 plus the
normal permit fee,which ever is greater.
OR
Ifvou are a contractor participatinQ in the Permit fee Account Svstem and have adequate funds, check here
if vou want this processed throu�vour account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be snbmitted :
with the permit application. Applications snbmitted without an EIV when such is required, will not be :
processed for Permit Issnance and will be retumed for completion.
DATE � �'o�s �/-j
JOB ADDRESS G�/�
OWNER ��� � ( S � '
CONTRACTOR
CHECK 0 ALL APPLICABLE
USE CATEGORY
.�3Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL �Gas �Electric ❑Solid SYSTEM ❑New �IReplace
❑Oil ❑Solar ❑Other
TYPE
�F'orced Air �Radiant ❑Steam �lA/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED �No ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
VALUE(Including labor and materials)$ J� ���• � �
, 1
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) ���' _
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