HomeMy WebLinkAbout0157713-HVAC (furnace) � CITY OF OSHKOSH No 157713
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 347 W 15TH AVE _ _ Owner JEROME R OECHSNER _ Create Date 09/13/2013
Contractor THOMPSON HEATING AND COOLING S Category 500-Residential-Heating&Ventilating Plan
inspector Nicole Krahn
Fuel ✓ Gas Oil � Electric Solar _JI Solid_�
System � New � ✓ Replace _ '� � Other �
✓ Forced Air i Radiant Steam � A/C � Vent
Electric Hot Water Suppl. Con. Burner �
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable
�
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature SFR/Replacing the existing gas furnace. I
of Work j
i
I
�— -- -
Fees: Valuation $2,200.00 Plan Approval $0.00 Permit Fee Paid $62.00
issued By: � Date 09/13/2013
❑ Permit Voided I Parcel Id#0904630000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkos s no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit ap � tion within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)an to re cessary approvals before starting such activity.
signature Date � �3 / 3
AgenUOwner
Address 901 OTTER AVE OSHKOSH WI 54901 -5444 Telephone Number 920-426-3095
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 54903-1130
Phone(920)236-5050
Fax (920)236-5084 Of I--IKOf H
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
Ifvou are a contractor participatin� in the Permit fee Account Svstem and have adeguate funds, check here
ifyou 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)must be snbmitted
with the permit application. Applications snbmitted without an EIV when such is required, will not be
processed for Permit Issnance and will be retarned for completion.
DATE 1 �j � 3
JOB ADDRESS � 7'7 � ���� G��=
OWNER
CONTRACTOR.�Hffyfi(QSd�v �?7 i1-E-,
CHECK�ALL APPLICABLE
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL B�Gas ❑Electric ❑Solid SYSTEM ❑New C�Replace
❑Oil ❑Solar ❑Other
TYPE
�'orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED �Io ❑Yes -LINER SIZE &MANLTFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B �.pirect Vent ❑Other
HEAT LOSS ❑As Approved C�Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value 7�, �3U
DESCRIPTION/SCOPE OF ALL WORK BEING DONE �I�(,�C� �U(��A-�'—t=
VALUE(Including labor and materiats) $ c���� �
�'
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) �• �U�'�
o�/o�