HomeMy WebLinkAbout0158033-HVAC � CITY OF OSHKOSH No 158033
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 800 HENNESSY ST Owner MR/MRS FRED I FERRARA Create Date 09/23/2013
Contractor HEISE HEATING&AIR CONDITIONING l Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel ✓ Gas i �Oi� Electric � Solar � Solid ;
System �New � � Replace J Other I
✓ Forced Air Radiant Steam � A/C Vent
Electric Hot Water Suppl. Con.Burner
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable
HeatLoss AsApproved � Existing � NotApplicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature �SFR\Install supply ducts and return air for sun room.System capacity and balance shall be verified by the installer. **check#3934
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Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $30.00
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Issued By: �]� Date 10/01/2013
❑ Permit Voided Parcel Id#0617250000
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. �
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Signature Date
Agent/Owner `-
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Address E8568 WAYAUWEGA RD NEW LONDON WI 54961 -7936 Telephone Number (920)982-5672__ �
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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 �
Numbec 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.
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City of Oshkosh �
Division of Inspection Services � �
P.O.Box 1130 � r
Oshkosh,WI 54903-1 1 30 �
Phone(920)236-5050 �
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ON THE WATER �
HVAC PERMIT APPLICATION ;
All information after bold categories must be provided. s
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$100.00 plus the
normal permit fee,which ever is greater.
OR �
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If vou are a contractor participatin� in the Permit fee Account System and have adeguate furrds, check here �
if vou want this processed through vour account n �
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**Advisory-For applicable projects, an Electrical Installation Verification(EI�form,signed by the Electrical �
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted `
with the permit application. Applications snbmitted without an EIV when such is reqnired, will not be [
processed for Permit Issnance and will be returned for completion. �
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JOB ADDRESS �� /7��I1 tl�t/
OWNER �a.b ,G�:�c,•�4 `
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CONTRACTOR �` C%OS, �
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CHECK�ALL APPLICABLE �
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USE CATEGORY �
�5ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial �
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FUEL �Gas ❑Electric ❑Solid SYSTEM ❑New ❑Replace g'
❑Oil ❑Solar ❑Other �
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TYPE �
�orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con.Burner �
IS CHIMNEY BEING LINED ❑No ❑Yes -LINER SIZE &MANUFACTURER �
Note:All chimneys shall be sized per the BTU's being vented.
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CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other E
HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable �
BTU RATE ❑As Per Plan ❑Variable ❑Other Value �
DESCRIPTIO ��/ /�/t',+O/�DaE OF ALL WORK BEING DONE �,���g He�ra� � � �A,t �'
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VALUE(Including labor and materials)$ �
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) �
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