HomeMy WebLinkAbout2007-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
Job Address 995 MARICOPA DR
CITY OF OSHKOSH
No
123116
HV AC PERMIT - APPLICATION AND RECORD
Owner SUSAN R SNIDER
Create Date 01/08/2007
Contractor MARK WEBER HEATING & COOLING IN
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type Chimney A Chimney B
Heat Loss r) As Approved () Existing
BTU Rate o As Per Plan C) Variable
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
Plan
U Solar U Solid
o Other
~ AlC U Vent
U Con. Burner
Direct Vent Not Applicable
. Not Applicable Value
. Other Value
Use/Nature ~FRI Replace furnace and AlC units. EIV provided by Electrical Construction Services. "DEBIT ACCr",
of Work
Fees: Valuation
$4,000.00
(Z/??1AJ
Plan Approval
$0.00
Permit Fee Paid
$70.00
Issued By:
Date 01/08/2007
o Permit Voided i
Parcelld # 1313330000
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 (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.
~~~
ON THE WATER
• 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
JOB ADDRESS_~~~ ~ ~ / ~d ~j Iti
OWNERS ~~ ~ S~/V) Y~"Y~
CONTRACTOR~/~l7~ L~-~-~ ~~L' ~,~,,t ('
CHECK Bl ALL APPLICABLE
USE CATEGORY
~ingle Family ^Duplex ^Multi-Family ^Rental
DATE
^Commercial ^Industrial
FUEL Gas ^Electric ^Solid SYSTEM ^New ^Replace
it ^Solar ^~~
TYPE
Forced Air ^Radiant ^Steam ~A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIlVVINEY BEING LINED~io ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B ,Direct Vent ^Other
HEAT LOSS DAs Approved ^Existing ^Not Applicable
BTU RATE ^As Per Pian ^Variable OOther Value
DESCRIPTION OF ALL WORK BEING DONE ~ , ~,.~~ g~ ~,~~
vALUE _ ~ ~Yoo~ Q a ,~~~ rig
ELECTRICAL CONTRACTOR _ ~~~ ~~ ~~~ ~~
^ For a licable
pp 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
Cily ,,( (),hlwsl1
Oivi~itm of in;;p.cction Se-rvkes
itS Ciwseh Avc:nue
1'0 Box 1100
Oshkosh WI 54903.1130
om,,; nO.7.:\6.50S0
Fax ;;;W.n&.50M
E1 < ~ .11.... ">\ ". '1141. .~.' .
";IeCrriClnstaUat.U}D 't' en.dcatllon
I (\V 6)
have been contracted to perform electric 1nsta-Uation work for .:tt.lJL1P:{..~-e~...l.r2~ +,Cc..c. .
(Name contracted to)
at the foHov.ring address: _____t2:2e:t..f1z1..LCO.L::.d.______00_________,
(Address wl1ere vvork he performed)
The nature of the work consists of:
1\....
(Check One or Describe the Nature ofV,Tor}c)
Reconnection or new circuitfor replacement Heating and/or ,Ale
Rt::con.nection or uevv circuit for replacl.ement ElectricV{ater Heater or power
water heater.
Reconnection of the. Service Enlrau(;e Cable, Meter Box, alterations to fcceptac1es
I rut'l: . f;r g '~'""P A. "" t id'," ffit' t. l! t' ~ N~",'
an(). .It;>u..lno HXl..t.t!vS u.ti", 0 ~L. Elf,:, I SO'u mS.<i,...a.l0.tl. 4,0.0,..
Entrance Cables will fi separate
Recormection or ne\V for the replacement of other permanently wired
appliances i fixtures.
New circuit for the addition of Ale to an divellbt-g unit (hmlSt:: or the
individual systems in a duplex-'mcondominium), including required service
electrical outlets.
Other
'The value of this work is $.~d~({:~ ()~._..,
I hereby verify this work win he performed by an employee this company
the rcconnection ! instaUatkrn wiH be done in compliance \viih
reqmremems.
If2&.7-~.----
(Date)
5/02