HomeMy WebLinkAbout0158945-HVAC (furnace) � CITY OF OSHKOSH No 158945
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD :
ON THE WATER
Job Address 1500 BEECH ST Owner BRIAN P/REBECCA M FUCHS Create Date 11/08/2013
Contractor RASMUSSEN'S HEATING&A/C INC Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel ✓ Gas Oil Electric Solar Solid
System � New � � Replace j � Other I
✓ Forced Air Radiant Steam A/C Vent
0 Electric � Hot Water Suppl. Con. Bumer i
Chimney Type �ChimneyA � Chimney B � Direct Vent � NotApplicable �I
Heat Loss As Approved � Existing 0 Not Applicable Value
BTU Rate As Per Plan � Variable � Other � Value 45,000
Use/Nature FR/REPLACE FURNACE, ELECTRICIAN IS HULLAR ELECTRIC "`*ceck#5519
of Work
i
Fees: Valuation __ $1,482.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: �'�I,V Date 12/02/2013
❑ Permit Voided I Parcel Id#1206410300
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 PO BOX 1158 OSHKOSH WI 54903 -1158 Telephone Number 920-235-6569 :
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 �
O',: `H%- :'i�TFR
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 Ha11,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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor narticivatinQ in the Permit fee Account System and have adeguate funds check here
i�vou warrt ihis processed through vour account (1
**Advisory-For applicable projects, an Electrical Installation VeniSication(EI�fo�m,signed by the Electrical
Contisctor or Hon�owner(for installations allowed to be petformed by the homeowner)mnst be sabmitted
with the permit application. Applications sabmitted widwnt an IIV when snch is�qaired,will not be
processed for Penmit Issnance and will be ret�amed for rnmpletion.
DATE �G".30' /3
JOB ADDRESS IS� �e.ec.�n ST,
owivER �f �o� �vc�n S
CONTRACTOR ��w��SScn S NU�L
CHECK 0 ALL APPLICABLE
US�:CATEGORY
f�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL Cd"Gas ❑Electric OSolid SYSTEM QNew tlRepiace
❑Oil ❑Solar ❑Other
�E
orced Air ❑Radiant ❑Steam ❑A/C �Vent OElectric ❑Hot Water ❑Suppl. ❑Con.Bumer
IS CHIMNEY BEING LINED�o �Yes -LINER SIZE &1��IANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE OChimney A �� f�imney B �Direct Vent �Other
HEAT LOSS ❑As Approved �Existing ❑�t Applicable
BTU RATE ❑As Per Plan ❑Variable �Other Value yJ�i�� �TV
DESCRIPTION/SCOPE OF ALL WORK BEING DONE RG��4cL �vr nac�
om
VALUE(Inciuding labor and materials)$ ���°�' .
ELECTRICAL CONTRAC"TOR(for projects not reqairing ao EIV Form) NU���.� ���c�+r+c.
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