HomeMy WebLinkAbout0123227-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 935 937 ALPINE CT
CITY OF OSHKOSH
No
123227
HVAC PERMIT - APPLICATION AND RECORD
Owner STEVEN R GOLLNICKlJ GOLLNICK
Create Date 01/18/2007
Contractor MARK WEBER HEATING & COOLING IN
Fuel l!J Gas UOil
System o New
l!:J Forced Air U Radiant
U Electric .U Hot Water
Chimney Type () Chimney A () Chimney B
Heat Loss () As Approved o Existing
BTU Rate () As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
U Electric
o Replace
U Steam
U SuppL
. Direct Vent () Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature Duplex (935) - Replace furnace. EIV provided by Electrical Construction Services. ""DEBIT ACCT"",
of Work
Fees: Valuation
$1,400.00
r2~
Plan Approval
$0.00
Permit Fee Paid
$31.00
Issued By:
Date 01/18/2007
o Permit Voided I
Parcel Id # 1525400000
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
~
OfHKOfH
ON THE WATER
HVAC PERMIT APPLICATION
All infonnation 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If vou are a contractor participatinf! in the Permit fee Account Svstem and have adequate funds, check here
if vou want this processed throu~h vour account R1 .
JOB ADDRESS q D S AL-PJ ~ 0);
OWNER J f IVt ~6L J\J { c.J,( .
. CONTRACTOR /"1AT4( ~ -~p~ rl-NJ1CMt 1.<</6
DATE / I/~/t; 7 .
//(j(! .
CHECK ~ ALL APPLICABLE
U&E CATEGORY
DSingle Family ~uplex DMulti-Family
DRental
o Commercial
DIndustrial ..
FUEL
~as
DOi1
DElectric DSolid
DSolar
SYSTEM
DNew
DOther
JZ!'Replace
TYPE
,JQForcedAir DRadiant DSteam DAlC DVent DElectric OHotWater DSuppl. DCon. Burner
IS CHIMNEY BEING LINED~o DYes - LINER SIZE
Note: All chUnneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE DChimney A DChirnney B )81)irect Vent DOther
REA T LOSS DAs Approved o Existing DNot Applicable
BTU RATE DAs Per Plan DVariable DOther Value
D~CRIPTION OF ALL WORK BEING DONE ~ DC r1-.J -B I S7f,J.
~n1J)b..Q~ tJ)I{1-I;A- A.J~ ~
VALUE .$/~C>tJ .6CJ \01
ELECTRlCALCONTRACTOR E4~ ~.~ OM'S . \\\ {~
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. . '1.' 0 ~ 11 J
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City "fO,I--.ko,!l
Dlvi:;jotl()f h~~~-Jctim~ Ser'.Jic.es
21S- Church Av~nue
POB"" 1130
O;;llko;;h WI 549')3.!l JI.l
omce 92(1.236-5(150
FJ~ 920-.-2l6~50S4
ElectriJ: blstaUatiOl1
1 eWe)
L!t~._.~..1~1i.;21ZlY,
(N::nne of part)' contracted to)
at the follov/ing address: ,...,.7~~ _.~L~--CI__............-<.....,--.._..._..~-c-'''''''''''''~~''''-''''''''';
(Address where work will be performed)
have been contracted
perfonn electric mstal1abpl1
The nature of the work consists (}f: {Check One
~_.K. Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser.
Re{;onnection or new for replacement or pO\ver vented
water heater,
Recmmection Entrance Cable, alterations to
and lighting fixtures due to siding I soffit installatknl. Note:
E.ntrance Cables win fef1uire a separate
Reconnection or new circuit for the of olherwired
appliances I
New circuit for the addition of Ale to an individual dwelling unit (house or the
individuai systems a dupleA"'or condolniniurn), including service
ekx:tricaJ outlets.
Other
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The value of this \'lork is $__Lt2/2..:QO.r-__'
I hereby verify this work \vi~I be perfonned by an employee
the reconnection I installation wm be done in cornpliance with
requirements.
this campa;"1)! verify
a..'1d Electric code
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(Date)
5/02
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