HomeMy WebLinkAbout0157712-HVAC � CITY OF OSHKOSH No 157712
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 16 CHATEAU TER Owner BRIAN G ZIEGLER Create Date 09/09/2013
Contractor THOMPSON HEATING AND COOLING S Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel Gas ; Oil Electric Solar I Q Solid
System � New I � Replace j � Other j
ForcedAir �Radiant Steam � �A/C � Vent
Electric Hot Water �1 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/Heating in association with the following: remodel the basement to include adding a bedroom with egress window,bathroom,
of Work laundry room and family room. New walls will be non-loadbearing. All construction shall comply with State and local building codes.
i
I
Fees: Valuation $600.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: � ,�/`-- Date 09/13/2013
..-
❑ Permit Voided I Parcel Id#1527610000
In the performance of this rk, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh ha no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit appli within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any e ssary approvals before starting such activity.
Signature Date � ��
AgenUOwner
Address 9010TTERAVE OSHKOSH WI 54901 -5444 TelephoneNumber 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 othervvise,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 OfHKOlH
ON THE WATER '
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete app(ications 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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participating in the Permit fee Account Svstem and have adeguate funds check here �
if vou want this Drocessed through voz�r account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be sabmitted
with the permit application. Applications sabmitted without an EIV when snch is reqnired, will not be
processed for Permit Issnance and will be returned for completion.
DATE � /3 � :
JOB ADDRESS �� C�/-�4- 7'f l4 C�$ �L��c'�
OWNER
CONTRACTOR f/�GN/Js iv ��vf--T7�,
CHECK�ALL APPLICABLE
USE CATEGORY
f�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL L�Gas ❑Electric ❑Solid SYSTEM ❑New ❑Replace
❑Oil ❑Solar �Other
TYPE
�orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con.Burner :
IS CHIMNEY BEING LINED [�INo ❑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
HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DES RIPTION/SCOPE OF/f�LL WORK BEING DONE /'i"DD ��-14-�1" -f o
o �?��L!�- �%C�l/l d 7���
VALUE(Induding labor and materials)$__ ��• ��
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
o�/o�