HomeMy WebLinkAbout0157797-HVAC (furnace) �
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/L", CITY OF OSHKOSH No 157797 �
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD f
ON THE WATER
Job Address 1413 LAWNDALE ST Owner DANIEL L WINKLER Create Date 09/18/2013
Contractor AIR TECH HEATING INC Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar �' Q Solid
System � New � ✓ Replace _ _ __� � Other
- - ;
✓ Forced Air �i Radiant Steam A/C Vent ;
CT--__� �_ __� Q __ _ ❑
__ �
Electric ' Hot Water__ j �SuppL _ __� Q Con. Burner
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Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable
- - -------- ;
: Heat Loss �AsApproved � Existing _ � NotApplicable Value
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BTU Rate _ _ - -------- -
�s Per Plan � Variable � Other � Value _
Use�/Na�t/u�`k 5FR/REPLACE FURNACE AND INSTALLING CHIMNEY LINER,WIRING BEING DONE BY JP ELECTRIC *'debit acct E
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Fees: Valuation $2,850.00 Plan Approval $0.00 Permit Fee Paid $62.00
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Issued By: �� Date 09/18/2013 ;
❑ Permit Voided I Parcel Id#1513960000
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.
Signature Date
AgenUOwner
Address 1305A INDUSTRIAL PKWY FOND DU LAC WI 54937 -2208 Telephone Number 920-924-6742
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 Ostilcosh
Division of Inspection Services �
P.O.Box 1130 � ���
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 u
�_��___��'�
N MEWAF
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 narticiDatinQ in the Permit fee Account Svstem and have adequate funds check here
�vou want this nrocessed through vour account P�
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homcowner(for imstallations allowed to be ptrformed by the homeowner)mnst be snbmitted
with the pernrit application. Applications sabmitted withont an EIV when snch is reqaired,will not be
processed fnr Pernut Issnance and w�l be retarned for completion.
DATE 9-��-i 3
.ros�wnx�ss_ I�I r 3 �4,�..rz���� � R�CEIVED
OWNER ,/il �,(/X.,�/2,�
CONTRACTOR aG�! �ZC� 74�-�i,�i S E P 19 2 013
I7E�'ARTRIE::'1 7F
CHECK�ALL APPLICABLE C0�9�1U�IT'Y DE�'ELOP\]EVT
INSPECTiOti SERVICES D1�7SION
USE CATEGORY
�3'ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL l�as ❑Electric ❑Solid SYSTEM ❑New �i£eplace
❑Oil ❑Solaz ❑Other
TYPE
�orced Air ❑Radiant ❑Steam ❑A/C ❑Vent OElectric ❑Hot Water ❑Suppl. ❑Con.Burner
IS CHIMNEY BEING LINED ONo�'Yes -LINER SIZF,3 �� 3S � &MANUFACTUREI�
Note:All chimneys shall be sized per the BTU's being vented. �
CHIMNEY TYPE OChimney A ❑Chimney B �Direct Vent ❑Other
HEAT LOSS .0'As Approved ❑Existing �Not Applicable
BTU RATE ❑As Per Plan .(�'ariable ❑Other Value
DESCRIPTION/SCOP OF ALL WORK BEING DONE
��� �
VALUE(Including labor and materials)$ a �SSD
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) C�-. T"
o�io�
53s �