HomeMy WebLinkAbout0105031 HOSHKOSH
ON THE WATER
1431 PHEASANT CREEK DR
THOMPSON HEATING AND COOLING SI
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner TIMOTHY R/KAY A ZIER
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
105031
10/03/2003
Other
Vent J
Use/Nature
of Work
Owner added bath & small walk area to basement. I installed 2 heat runs & one return air run.
Fees: Valuation
Issued By:
$1,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$20.00
Date 10/29/2003
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 901 OTTER Oshkosh WI 54901 -0 Telephone Number
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
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will nOt be processed.
,.O_/HKO/H
· Appiication(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 adequate funds, check here
if you want this processed through Four account [~
oB ,D ss/43/
CHECK [] ALL APPLICABLE
USE CATEGORY
~'Single Family VIDuplex F1Multi-Family
EJRental FICommercial FIIndustrial
FUEL
~Gas r'lElectric F1Solid SYSTEM [2]New ~ []Replace
ElOil FI Solar ~Other
TYPE
~xForced Air []Radiant []Steam V1A/C []Vent []Electric
IS CHIMNEY BEING LINED []No I-lYes - LINER SIZE
Note: Ali chimneys shall be sized per the BTU's being vented.
F1Hot Water []Suppl. F1Con. Burner
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
V1Chimney A
[]As Approved
F1AS Per Plan
F1Chimney B
[]Existing
EVadable
[]Direct Vent
F1Not Applicable
[]Other Value
ElOther
VALUE (Including labor and all materials including light fixtures) $ ~ a"~/f_&,~, f~
ELECTRICAL CONTRACTOR
[] For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Perrmt is required.
9/02