HomeMy WebLinkAbout0124419-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 232 S LARK ST
CITY OF OSHKOSH
No
124419
HVAC PERMIT - APPLICATION AND RECORD
Owner SUSAN K BENTER
Create Date 04/25/2007
Contractor MARK WEBER HEATING & COOLING IN
Fuel U Gas UOil
System ~ New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type U Chimney A C) Chimney B
Heat Loss C) As Approved () Existing
BTU Rate () As Per Plan C) Variable
Category 501 - Residential-Air Conditioning Plan
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
U Solar U Solid
o Other
l!:J NC U Vent
U Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFR /INSTALL AN AIR HANDLER WITH DUCTS AND NC UNIT, EIV SIGNED BY ELECTRICAL CONSTRUCTION SERVICES LLC
of Work "debt acct
Fees: Valuation W
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$62.50
Date 04/25/2007
o Permit Voided I
Parcelld # 0610110000
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.
~3f Oshkosh
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PO R;JX 1 iJO-
fJshk0:5!: \})1 549'iB-~ i30
orfk~; 92U~2',U).,5f6V
fax 920~ 2}6~-5024
RECEIVED
APR 2 5 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
1.
tn
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at
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nature
One or
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(}rne-Vl
or nl~W
or tile
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is $. 3r)C)~~LO."
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5!01
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVED
APR252007 ~
DEPARTMENT OF
COMMUNTIY DEVELOPMENT 0' ruVIQ\ rH
INSPECTION SERVICES DIVISION U llN U
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
I 'ou are a contractor artici atin in the Permit
ou want this rocessed throu h our account
check here
DATE
ffr-s!o/
~.L.~
. OWNER $ Q.-c- ~Tt::..~
. CONTRACTOR /l:1/IITKK ~. ~
JOB ADDRESS
6(~~
CHECK m ALL APPLICABLE
USE CATEGORY
~Single Family ODuplex DMulti-Family
ORental
o Commercial
OIndustrial .
FUEL
DGas
DOil
DElectric DSolid
DSolar
SYSTEM
dNew
DOther
DReplace
TYPE
DForced Air DRadiant DSteam B(Nc DVent DElectric DHot Water DSuppl. DCon. Burner
IS CBlMNEY BEING LINED ~o DYes. - LINER SIZE
Note: All chinmeys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
DChimney B
DExisting
DVariable
DDirect Vent DOther
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE / /L6'7l1t.. (/A/0 ~ AlA ~(}Li:9t ·
tMlTI:f QuC'~ A-tJo ~
VALUE . .. .$ 3S't.>D ,,0 C
ELEcnuCAL CONTRACTOR E~> , to fl::eb Df+,) (<) ) .
o For applicable projects, an Electric Insta lation Verification form, signed by the Electrical Contractor, must be
attached. Ifnot attached or not applicabl.e, a separate Electrical Permit is required.
9/02