HomeMy WebLinkAbout0123786-HVAC (furnace)
G
OSHKOSH
ON THE WATER
Job Address 671 GROVE ST
CITY OF OSHKOSH
No
123786
HVAC PERMIT -APPLICATION AND RECORD
Owner RICHARD R STARK
Create Date 03/13/2007
Contractor MARK WEBER HEATING & COOLING IN
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A C) Chimney B
Heat Loss . KJ As Approved () Existing
BTU Rate KJ As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
I Solar LJ Solid
D Other
LJ AlC LJ Vent
U Con. Bumer
. Direct Vent 0 Not Applicable
. Not Applicable Value
. Other Value
Use/Nature SFR / Replace furnace. EIV provided by Electrical Construction Services. ."DEBIT ACCT""
of Work
Fees: Valuation
$2,000.00
Plan Approval
$0.00
Permit Fee Paid
$40.00
Issued By:
~
Date 03/13/2007
D Permit Voided I
Parcelld # 1104510000
In the performance of this work, I agree to perform all work pursuant to rules goveming 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
,:,..<;;t!i:"
Division ofInspection 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.
JOB ADDRESS ~ 7 r 0> fLb ~
"OWNER (,,'Lh/l r"pt 577'/--f? t/
"CONTRACTORr1Mif ~7\ ;-h;;.1't77/Jfo
CHECK m ALL APPLICABLE
USE CATEGORY
;OSingle Family DDuplex o Multi-Family
DRental
DCommercial
DIndustrial "
FUEL
)2fGas
DOil
DElectric DSolid
o Solar
SYSTEM
DNew
DOther
~lace
TYPE
)2fForced Air DRadiant DSteam DNC DVent DElectric OHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE DChimney A DChimney B JtIDirect Vent DOther
HEAT LOSS DAs Approved DExisting DNot Applicable
BTU RATE DAs Per Plan DVariable DOther Value
])ESCRIPTION OF ALL WORK BEING DONE ,( dzJ4~Jr/) F -e:-y r51i U'=- ~.n AJ.4C:Z::-
jA}; /}fA- /Ik2J (D~ _
~2tp
VALUE "_ .$ IfG:>6 0, 00 l ). "'J
ELEcnuCALCONTRACTOR e.c'S kh;?-a;::: O;<P)J5 ~ ..
o For applicable projects, an Electric Insta ation Verification form, signe by the Electrical Contractor, must be
attached. Ifnot attached or not applicable, a separate Electrical Permit is required.
9/02