HomeMy WebLinkAbout0123006-HVAC (furnace)
G
OSHKOSH
ON THE WATER
Job Address 236 W 16TH AVE
CITY OF OSHKOSH
No
123006
HVAC PERMIT - APPLICATION AND RECORD
Owner KEVIN A SKENANDORE/LORI LANG
Create Date 12/27/2006
Contractor MARK WEBER HEATING & COOLING IN
Fuel ~ Gas LJ Oil
System D New
[!I_forced Air U Radiant
ffilectric LJ Hot Water
Chimney Type IT Chimney A () Chimney B
Heat Loss U As Approved () Existing
BTU Rate O_t'-s Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar I J Solid
D Other
U AlC U Vent
LJ Con, Burner
() Not Applicable
U Electric
~ Replace
U Steam
U Suppl.
. Direct Vent
. Not Applicable
. Other
Value
Value
Use/Nature SFR / REPLACE EXISTING FURNACE WITH NEW ONE, EIV PROVIDED BY ELECTRICAL CONSTRUCTION SERVICES LLC'*debt
of Work acct
Fees: Valuation $2,000.00
Issued By: ,S rY""'\t-tJ
Plan Approval
$0.00
Permit Fee Paid
$40.00
Date 12/27/2006
D Permit Voided I
Parcelld # 0902120000
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
1075 ISLAND ESTATE CT
OSHKOSH
WI 54901 - 0
Telephone Number 235-1523
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
"'",,",.
DEe 2 7 -
.s~rv!c-~.s
215 Church /~ VltHiK
1'0 Box 1l3iJ
05hkosh \V1 54903" 11:...0
Ofhce 920/!.16~5D50
F;iX 920.136~50S4
I (VI e)
have
to
t"1MP( , \~~
"",,^,,~,~",__,,,_,,~~~,,~_~,~~,"..~~.r:..~c...,. "
of pm'ty
~_o>
to)
at the
address: _,~3.~_,~_~_.lle~~~
""_~'""'~'_'~"'"'C_."">'"'""'" "._ ,-,~."_,,,, .'^~".."~" "'''<"'"M."_~<<,..,,,.,.,__,,__~~_~,,"_ "-',
performed)
The nature of the
of:
x
or ne'vv'
or neVl circuit
vlater
and
or nevv
/
to 2Hl
In.",
Other
value of
is $_~ W. ./6>~<OD
I hereby veri this
1he reconnectlOn / installation
an
(~ {~felQ.k--_..
5m2
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
DEe 2 7 2006
~L-J
~
OfHKOfH
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
I
ee Account S stem and have ade uate unds check here
DATE /;( /2[. !:'":)c,
JOB ADDRESS R ~ LA) I" -t i{-
OWNER LfJr!1 t L.-1tYJ C, / 5 /{ tl'J A OoftC
CONTRACTOR J11At2r< t-Jc.~ !-fn, o.LCt:.('. /H.J(!
CHECK Ia ALL APPLICABLE
USE CATEGORY
f' EtSingle Family DDuplex DMulti-Family
DRental
DCommercial
DIndustrial ..
FUEL
.2fGas
DOil
OElectric DSolid
o Solar
SYSTEM
ONew
OOther
ftJReplace
~~ed Air
DRadiant
DSteam ONC OVent DElectric
ORot Water OSuppl. DCon. Burner
IS CHIMNEY BEING LINED P(No DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACIJJRER
CHIMNEY TYPE OChimney A OChirnney B ))4Direct Vent DOther
HEAT LOSS DAs Approved DExisting DNot Applicable
BTU RATE DAs Per Plan o Variable DOther Value
DESCRIPTION OF ALL WORK BEING DONE I{~ ABOie::?1/T~ ---t!X t<q.. /)pUC
~r/(fAl tAtf /).,Im1- A-~) ~JAe, .. . '
(\
VALUE J;<tt:D.. CD .$ txDCX9.()O
ELECTRICAL CONTRACTOR e:=~<; GO<.& DelTUI5
o 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 Permit is required.
9/02