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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 of Work j � �i 'I I4 _� Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $30.00 x 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. � i Signature Date Agent/Owner `- �: s Address E8568 WAYAUWEGA RD NEW LONDON WI 54961 -7936 Telephone Number (920)982-5672__ � t e Y i 4 � fr ! � } j F i i � F k 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. 2 � f � � City of Oshkosh � Division of Inspection Services � � P.O.Box 1130 � r Oshkosh,WI 54903-1 1 30 � Phone(920)236-5050 � F� �9zo,z36-sag4 OfHK01H 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$100.00 plus the normal permit fee,which ever is greater. OR � � If vou are a contractor participatin� in the Permit fee Account System and have adeguate furrds, check here � if vou want this processed through vour account n � � � **Advisory-For applicable projects, an Electrical Installation Verification(EI�form,signed by the Electrical � Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted ` with the permit application. Applications snbmitted without an EIV when such is reqnired, will not be [ processed for Permit Issnance and will be returned for completion. � € nATE 9-.?s'-i� � E JOB ADDRESS �� /7��I1 tl�t/ OWNER �a.b ,G�:�c,•�4 ` � w/ � CONTRACTOR �` C%OS, � � � CHECK�ALL APPLICABLE � # F USE CATEGORY � �5ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial � � FUEL �Gas ❑Electric ❑Solid SYSTEM ❑New ❑Replace g' ❑Oil ❑Solar ❑Other � € TYPE � �orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con.Burner � IS CHIMNEY BEING LINED ❑No ❑Yes -LINER SIZE &MANUFACTURER � Note:All chimneys shall be sized per the BTU's being vented. � ; � CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other E HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable � BTU RATE ❑As Per Plan ❑Variable ❑Other Value � DESCRIPTIO ��/ /�/t',+O/�DaE OF ALL WORK BEING DONE �,���g He�ra� � � �A,t �' _��ii���l��'(/11 b/�N � t� € � ��� � VALUE(Including labor and materials)$ � ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) � � o�/o� � � a