HomeMy WebLinkAbout0158470-HVAC (furnace) �
� CITY OF OSHKOSH No 158470
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 927 KNAPP ST Owner ANNE E DEWHURST Create Date 10/25/2013
Contractor RASMUSSEN'S HEATING&A/C INC Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel ✓ Gas Oil � [� Electric � [] Solar Solid �
System � New J �✓ Replace _ � Other I
✓ Forced Air Radiant � Steam � A/C i Vent �
Electric HotWater 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/Replace furnace. I
of Work I
�I
I
;
�-- —--- --- i
Fees: Valuation $3,480.00 Pian Approval $0.00 Permit Fee Paid $78.00
issued By: �,��� Date 10/25/2013
� Permit Voided ' Parcel Id#1305210000
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 an ecessa p rovals before starting such activity.
Signature � ���� Dat (�� $-/
AgenUOwner
Address PO BOX 1158 OSHKOSH WI 54903 -1158 Telephone Number 920-235-6569
f
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
F� ��°,��5°� O HKO H
Q•,.. 'HF l.'r�7PA
HVAC PERMIT APPLICATION
Ail information after bold categories must be provided.
Incomplete applic�tions 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$100.00 plus the
normal permit fee,which ever is greater.
OR
/�vou are a contractor narticinatinQ in the Permit fee Account Svstem and have adequate funds. check here
if vou want this processed through vour account n
**Advisory-For applicable projects,an Elecdrical Installation Verifica�ion(EI�form,sip�ned by tLe Eleclrical
Contractor or Homeowner(for installations allowed to be pe=fonned by the hon�eownerj mast be sabmitted
with the permit application. Applications snbmitted withont an IIV when snch is xeqaired,w�l not be
processed for Penmit Issaance and will be retarned for rnmpletion.
DATE �G'O?o���3
JOBADDRESS 9a7 �Y�O►�I� �1 ,
ow1vER Anrc. �ewh�r st
CONTRACTOR RG-Sw+�S S�n�� N 1�A'�-
CHECK B(ALL APPLICABLE
USE CATEGORY
�3'Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial �Industrial
FUEL EFas ❑ElecU-ic ❑Solid SYSTEM ONew t�eplace
�Oil ❑Solaz OOther
T��
�'Forced Air ❑Radiant ❑Steam ❑A/C OVent �Electric �Hot Water ❑Suppl. ❑Con.Bumer
IS CHIMNEY BEING LINED allo �Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A �imney B �Direct Vent �Other
IiEAT LOSS ❑As Approved 'sting �Not Applicable
BTiJ RATE ❑As Per Plan ariable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE �����i� Fv/r14 c�G
VALUE(Includiog labor aad materials)$ �� ��,�O
ELECTRICAL CONTRACTOR(for projects not requiring so EIV Form) �v''�'C r ���-'�r t C,..
o�ro�
7B�
i