HomeMy WebLinkAbout0157613-HVAC /�'� CITY OF OSHKOSH No 157613
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1816 VINLAND ST Owner CENTURY OAKS HOMES LLC Create Date 09/09/2013
Contractor CHRISTENSEN HEATING&A/C INC Category 512-Ind. &Comm-Both Plan Z3-3736-0413-H
Inspector John Zarate
i Solar Solid
Fuel ✓ Gas Oil Electric� �-__ _—' �
System �New j �] Replace _ _ ', � Other
✓ Forced Air Radiant Steam ' A/C Vent
�--� �---_ I � __ _- �
---- —
Electric Hot Water � Suppl� �Con. Bumer
_-- ---- _ _ _
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable
Heat Loss �� As Approved � Existing � Not Applicabl� Value _
BTU Rate � As Per Plan � Variable � Other i Value __
Use/Nature omm/CBRF/New 34 unit CBRF*Per state approved plans Trans ID 2267082 **check#64050 �
of Work I
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Fees: Valuation $1 5,000.00 Plan Approval $0.00 Permit Fee Paid $1,074.00
Issued By: ��y`�j—` Date 09/092013
� Permit Voided 'i Parcel Id#1211433009
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 1609 W WISCONSINAVE APPLETON WI 54914 -3274 Telephone Number (920)731-3002
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
i
City of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fa�c (920)236-5084
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HVAC PERMIT APPLICATION
All information after bold categories must be provided. ,f(JL 1 g 2��3
Incomplete applications will not be processed.
• A lication s and fee s can be brou ht to Ci Hall Room 205 or mailed to Ins ection llEp'� � f 128
PP � ) � ) g tY , P ���c$�'������ev'r
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees beul��F(i��l� Q��}t,S�,xhe
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit fee Account Svstem and have adequate funds, check here
�vou want this processed throuQh vour account (�
**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 snch is reqnired, will not be
processed for Permit Issnance and will be retarned for completion.
I O� �J V,n(Q��` S� DATE ! - I G- I�
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JOB ADDRESS (/r JD . .�`7'S/��
OWNER �,� � 3— 3-�3� _ �c�J�_ �_�
CONTRACTOR t c.�'l� `IS�/�t �" C ��1�
CHECK C�ALL APPLICABLE
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental �Commercial ❑Industrial
FUEL �Gas ❑Electric ❑Solid SYSTEM �New ❑Replace
❑Oil ❑Solar ❑Other
TYPE
IpForced 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 f�Direct Vent ❑Other '
�iEAT LOSS [�As Approved ❑Existing ❑Not Applicable
BTU RATE L�As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
VALUE(Including labor and materials)$ ��si OC-'�� �
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
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