HomeMy WebLinkAbout0157606-HVAC (a/c) � CITY OF OSHKOSH No 157606
OSHKOSH HVAC PERMIT -APPUCATION AND RECORD
ON THE WATER
Job Address 723 S WESTFIELD ST Owner NATHAN/DANIELLE POTRATZ Create Date 09/09/2013
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Contractor FONDY HEATING&AIR CONDITIONING Category 501 -Residential-Air Conditioning Plan
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Inspector Nicole Krahn
Fuel ✓ Gas Oil � Electric '
�— ,i � __� �__--- - _ p Solar [; Solid
System � New � ✓ Replace ! [] Other
Forced Air Radiant Steam j ✓ A/C Vent
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Electric � Hot Water Suppl. � Con. Bumer I
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other �i Value
Use/Nature , FR/REPLACE EXISTING A/C UNIT •'check#10924 -
of Work i
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Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $46.00
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Issued By: ���(� Date 09/09/2013
❑ Permit Voided � Parcel Id#0612270000
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
AgenUOwner
Address N7374 MOSHER DR FOND DU LAC WI 54937 -8430 Teiephone Number 920-922-4565
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,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 (,r f�01H .
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ON THF WATfR
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 54903-1 1 28. 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 narticipating in the Permit fee Account Svstem and have adeguate funds check here
if vou want this processed through vour account n
**Advisory-For applicable projects, an Electrical Installadon Verificadon(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 submitted withont an EIV when snch is reqnired, will not be
processed for Permit Issnance and will be retumed for completion.
DATE �� `� ��
JoB�D�SS -�a� i,J�sT F � E LD
OWNER
CONTRACTOR n �Gl � � `�
CHECK�ALL APPLICABLE
US CATEGORY
ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL �as ❑Electric ❑Solid SYSTEM �New �place
❑Oil ❑Solar ❑Other
TYPE :
�Forced Air ❑Radiant ❑Steam `�1/C ❑Vent DElectric �Hot Water ❑Suppl. ❑Con. Bumer
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 DExisting �Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE �� D I Gt C� l�'� �2 ���1��T/O 1.��2
VALUE(Including labor and materials) $ �d�C�
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
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