HomeMy WebLinkAbout0157267-HVAC (furnace) � CITY OF OSHKOSH No �5�2s�
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1857 MINNESOTA ST _ Owner DENNIS R SCHMIDT Create Date 08/16/2013
Contractor OWNER Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel ✓ Gas Oil Electric 0 Solar �I Solid
System ❑ New � 0✓ Replace I � Other �
✓ Forced Air i Radian� Steam � A/C Vent
Electric Hot Water Suppl. Con.Burner
Chimney Type '� Chimney A � Chimney B � Direct Vent � Not Applicabie
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other � Value
Use/Nature SFR/installing a new furnace to replace existing/new furnace will be power vented to sidewall/must cap existing hole in chimney where�
of Work 'old furnace vented/all work will meet state and local codes
� I
�
Fees: Valuation $3,500.00 Plan Approval $0.00 PermitFee Paid $78.00
Issued By: ��� Date 08/16/2013
❑ Permit Voided I Parcel Id#1405390000
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 cu any necessary a rov s before s arting such activity.
Signature ..C�z Date �j ��i �
AgenUOwner
Address OSHKOSH WI 54901 -0 Telephone Number
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
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor particioating in the Permit fee Account Svstem and have adeguate funds check here �
if vou want this processed throu�h vour account n �
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form,signed by the Electrical
Con�actor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications sabmitted without an EIV when such is reqnired, will not be
processed for Permit Issnance and will be returned for completion.
DATE �� ��' �� � 3
JOB ADDRESS I�,��7 J�'J irl/�L�Sd�m �
OWNER �G�p�rv� .���1/j�b��
CONTRACTOR �/1J�� :
CHECK�ALL APPLICABLE
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL �Gas ❑Electric ❑Solid SYSTEM ❑New �Replace
❑Oil ❑Solar ❑Other
TYPE
�'orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
�J/�-IS CHIMNEY BEING LINED ❑N�es -LINER SIZE�&MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
VALUE(Including labor and materials)$ �f�C'7 �
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
a�/o�