HomeMy WebLinkAbout2007-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 455 ZARLING AVE
CITY OF OSHKOSH
No
123785
HVAC PERMIT -APPLICATION AND RECORD
Owner JONATHAN D/ANNE M DOEMEL
Create Date 03/13/2007
MARK WEBER HEATING & COOLING IN
Category 500 - Residential-Heating & Ventilating
Plan
Contractor
System
~ Gas
n New
~ Forced Air I
1J ElectriCd r
Chimney Type () Chimney A
Heat Loss K:) As Approved
UOil
U Electric
o Replace
U Steam
LjSuppl:
. Direct Vent
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
() Not Applicable
Fuel
() As Per Plan
U Radiant
U Hot Water
C) Chimney B
() Existing
C) Variable
BTU Rate
. Not Applicable
. Other
Value
Value
Use/Nature SFR / Replace furnace. EIV provided by Electrical Construction Services. **DEBIT ACCT**.
of Work
Fees: Valuation
$2,000.00
~./O
Plan Approval
$0.00
Permit Fee Paid
$40.00
Issued By:
Date 03/13/2007
o Permit Voided I
Parcelld # 1262030000
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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OJ~OJH
ON THE WATER
HVAC PERMIT APPLICATION
All infonnation after bold categories most 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
check here
DATE 3 - i '3 ~ D 7
JOB ADDRESS tJS'5. ZAflLwJ~
OWNER fviDJ Cx>e-~
CONTRACTOR /'1Mi' IA~~ ~A)(., /bJ() eC)2>C-i..v6 /J{)(! ~
CHECK Jif ALL APPLICABLE
USE CATEGORY
-RtSingle Family o Duplex DMulti-Family
DRental
o Commercial
Dfudustrial .
FUEL
JifGas
OOil
OElectric OSolid
o Solar
SYSTEM
ONew
OOther
~eplace
TYPE
.@Forced Air DRadiant DSteam DAlC OVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED r29No DYes - LINER SIZE
Note: All chittmeys shall be sized per the BTU's being vented.
& MANUFACTIJRER
CHIMNEY TYPE DChimney A OChimney B 2IDirect Vent OOther
HEAT LOSS DAs Approved OExisting DNot Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCRIPTION OF ALL WORK BEING DONE ~t8J?e:V) Or €V '<TiJLJCo ";:;;,"1v~c...-e:-
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ELECTRICAL CONTRACTOR e;e-~> 0t1J:E~ [)AJ/~
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.
VALUE
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