HomeMy WebLinkAbout0157611-HVAC � CITY OF OSHKOSH No 157611
OSHKOSH '
HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3880 SHOREBIRD CT Owner KEITH&LUANN ZIEBEL _ Create Date 06/03/2013
Contractor FOUR SEASONS HEATING 8�COOLING Category 502-Residential-Both Plan
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-_ _ - -
Inspector John Zarate :
Fuel ✓ Gas Oil � �Electric -- -
__� -_— --__ _; � Solar [] Solid _
System 0 New � �Replace __ [] Other
- -- _
__ _
✓ Forced Air --� �C
__ � Radiant � Steam ✓�_____ �Vent
Electric J� Hot Water � Su I.
Pp Con. Burner '
Chimne T e '—
Y Yp � ChimneyA � Chimney B � Direct Vent � NotApplicable
Heat Loss � As A roved 0 Existing Not A licable Value `
Pp 0 pP —�
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BTU Rate i� As Per Plan � Variable � Other Value
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Use/Nature NSFR(LATE PERMIT)/NEW FURNACE AND A/C FOR NEW HOME "*check#16090
of Work ,
i
Fees: Valuation $ 0,250.00 Plan Approvai $0.00 Permit Fee Paid $184.00
Issued By: �1 Date 09/09/2013
❑ Permit Voided � Parcel Id#1281550000
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 711 DEERVIEW DR APPLETON WI 54913 -0 Telephone Number 920-832-1462
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 54903-1 1 30 �
Phone(920)236-5050
Falc (920)236-5084 uVO �
I ll\
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$100.00 plus the
normal permit fee,which ever is greater.
OR
I ou are a contractor DarticinatinQ in the Permit fee Account Svstem and have adeauate funds check here
f vou want this nrocessed through vour account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be snbmitted
with the permit applicadon. Applications snbmitted withont an EIV when sach is reqaired,will not be
processed for Pernut Issnance and will be retnrned for completion.
DATE sisr�o�3
JOB ADDRESS �o snoreb�ro c«,n
�b������� RECEIVED
OWNER
CONTRACTOR �fiO�Homes S E P 0 9 2013
CHECK�ALL APPLICABLE DEPART�tE�T OF
CO�1�iU\PT:'DE�'£LOP�tEVT
USE CATEGORY iysvec�ri^.SER\'?CES Dl�'ISIOV '
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FLTEL [BGas ❑Electric ❑Solid SYSTEM �New OReplace
❑Oil ❑Solaz ❑Other
TYPE
�Forced Air DRadiant ❑Steam �A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con.Burner
IS CHIMNEY BEING LINED L7�No DYes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent �Other
HEAT LOSS �As Approved ❑Existing ONot Applicable
BTU RATE �As Per Plan ❑Vaziable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE_New construction HvAC aas forced air with central air conditioner
VALUE(Including labor and m$terials)$ 10,250.00
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
o�/o�