HomeMy WebLinkAbout2003-HVAC (pellet stove)OSHKOSH
ON THE WATER
.lob Address 708 VlOLAAVE
Contractor OWNER
Fuel ~J Gas
System ~J New
~J Forced Air
~J Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner WILLIAM C NOLTE ETAL
Category 503- STOVES AND FIREPLACES
L~ Electric
Replace
L~ Steam
Suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B
~ Existing
~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~J Solid
104939
10/23/2003
Other
Vent J
Use/Nature SFR/Install a pellet burning stove.
of Work
Fees: Valuation
Issued By:
$2,200.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$38.00
Date 10/23/2003
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 OSHKOSH WI 54901 -0 Telephone Number
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 Sexviees
P.O. Box 1130
Oshkosh, WI 54903-I 130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON THE W^T~R
· 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 System and have ~dequate funds, check here
if you want this processed through your account ~
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
[~ingle Family ElDuplex FlMulti-Family
F1Rental UICommercial FIIndustrial
FUEL I-IGas F1Electric [~Solid SYSTEM
F1Oil FlSolar
TYPE
12Forced Air F1Radiant I-'lSteam F1A/C ~ I-IElectric
IS CItlMNEY BEING LINED F1No I-lYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
FIHot Water J~Suppl.
& MANUFACTURER
I-ICon. Burner
CHIMNEY TYPE
HEAT LOSS
BTU RATE
F1Chimney A
i-lAs Approved
I-lAs Per Plan
[Chimney B
[]Existing
F1Variable
~f;DirectVent
~llqotApplicable
[OtherValue
~Other
DESCRIPTION OF ALL WORK BEING DONE
/IL '/
VALUE (Including labor and all materials including light fixtures) $ ~L~ ~5)~) ~
ELECTRICAL CONTRACTOR /(/C ;~ ) e J
[] For applicable projects, an Elecl~Sc Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.