HomeMy WebLinkAbout0105339-HVACOSHKOSH
ON THE WATER
.lob Address 1541 HAZEL ST
Contractor AMERICAN HEATING & A C CO
Fuel [~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air
Electric
Oil
Radiant
Hot Water
Owner TODD A/GINA L SCHMITZ
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO 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~ Solid
105339
09/23/2003
Other
Vent J
Use/Nature
of Work
Add heat run for basement remodel.
Fees: Valuation
Issued By:
$400.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$20.00
Date 11/17/2003
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 1129 MICHIGAN AVE OSHKOSH WI 54902 -6437 Telephone Number
(920) 235-8090
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-I 130
Phone (920) 236-5050
Fax (920) 236-5084
EIVEE
NOV 1 4 200,3
O/HKO/H
)EPART ENT OFo.
HVAC PERMIT AP~I~'~/I~EVELOPMENl'
All information after bold c~egories mast be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City ltall, 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 p_ar~ti_cip~.tit_~g_~zLtl~e ff_e22~jt [ee A_cc_o_!~21t_S~,stem and have adequate funds, check here
if you want this ~r_ o_c_es_~e_d_([trou£h _!'our account
CIlECK [] ALL APPIACABI,E
USE CATEGORY
~g-ingle Family UlDuplcx [3Multi-Family
(3Rental IDCommercial Dlndustrial
FIIEL 1~'~ a s FiElectric DS(flid SYSTEM F1New FIReplace
UIOil []Solar []Other
TYPE
[~-'~rced Air [2]Radiant CIStcam (2lA/(' [3Veal IDEIcctric U]llnt Water F1Suppl.[]Con. Burner
IS CltlMNEY BEING LINED [~No EYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTI rs being vented.
CtllMNEY TYPE
HEATLOSS
BTURATE
~Shimney A
U]As Approved
(lAs Per Plan
VlChimney B
[2]Existing
FiVariablc
FiDirect Vent
ot Applicable
I]~cr Value
FiOther
VALUE (includlnl~ labor and all materials i,,ch,dln:k liaht fixtures;) $__.:~'~O ~
ELE('TRICAL CONTRACTOR OR [} Electric Installation Verification form attached(If Replacement)
Electrical installation of new/replacement eqldpment shall be done by licensed contractors.
3/02