HomeMy WebLinkAbout0158939-HVAC /�'� CITY OF OSHKOSH No 158939
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 505 507 HOBBS AVE Owner DEL TRITT CONSTRUCTION LLC Create Date 12/02/2013
Contractor THOMPSON HEATING AND COOLING SI Category 502-Residential-Both Plan
Inspector John Zarate
Fuel ✓ Gas _j Oil � Electric � Solar_� Solid �
System ✓ New � �Replace I � Other I
✓ Forced Air Radiant Steam ✓ A/C � Vent
Electric � Hot Water Suppl. Con. Burner
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable
HeatLoss AsApproved � Existing � NotApplicable Value
----- _._______
BTU Rate As Per Plan � Variable � Other � Value 50,000
Use/Nature DUPLEX/REMODEL/(505)-ADD A/C, 1 HEATAND 1 R/A RUN,(507)-REPLACE HEAT,ADD A/C, 1 SUPPLY AND 1 R/A RUN
of Work "check#3233
I
I
Fees: Valuation $5,800.00 Plan Approval $0.00 Permit Fee Paid $110.00
Issued By: (�j� Date 12/02/2013
� Permit Voided i Parcel Id#1209400000 :
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
Agent/Owner
Address 901 OTTERAVE 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 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
Fa�c (920)236-5o84 O1HK01H
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
If vou are a contractor participating in the Permit fee Account Svstem and have adeauate funds check here �
if vou warrt this nrocessed throu�vour account I—I
**Advisory-For applicable projects, an Electricai 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 reqnired, will not be
processed for Permit Issaance and will be retamed for completion.
DATE �� � �
JOB ADDRESSc��� ��P�S
OWNER / �f �T �/�.S�l�tiC�Tf��''v
CONTRACTOR f v'L7/<�cJ��/L- _,'1/-�T7/L-�7
CHECK�ALL APPLICABLE
USE CATEGORY
❑Single Family ��uplex ❑Multi-Family ❑Rental ❑Commercial OIndustrial ;
FUEL ❑Gas ❑Electric ❑Solid SYSTEM �New ❑Replace
❑Oil ❑Solar ❑Other
TYPE
�Forced Air ❑Radiant ❑Steam f�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
HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRI,P/�I N/SCO E OF ALL WORK BEING DONE lTI.�� tT/L -- � Y�.;�-
/L
VALUE(Including labor and materials)� ���
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) � T�'
o�/o�
City of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OlHKO.IH
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit fee Account Svstem and have adequate funds, check here
if vou want this processed through vour account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be snbmitted
with the permit application. Applications snbmitted without an EIV when such is reqnired, will not be
processed for Permit Issnance and will be retarned for completion.
DATE /������
JOB ADDRESS ���� 1,��S
�
OWNER�TT �.�57T(.i v�-z v �,
CONTRACTOR ��TJLG7�S��- l'��1f►�C
.
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family �[buplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL �Gas ❑Electric ❑Solid SYSTEM ❑New �Replace
❑Oil ❑Solar ❑Other
TYPE
�Forced Air ❑Radiant ❑Steam �A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con.Burner
IS CHIMNEY BEING LINED �No �Yes -LINER SIZE &MANLJFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A I�'Chimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved C�xisting ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value_ �� �d�
DES RIPTION/SCOPE OF ALL WORK BEING DONE �C-,=�GL4-�%�" f7`��� �/�
1�t1�c.p �— �.L��� �_ _ 1/�1 f�-- �li�%
VALUE(Including labor and materials)$ �.Jp� • �
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) ���
o�/o�