HomeMy WebLinkAbout0124620-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 1376 W SOUTH PARK AVE
CITY OF OSHKOSH
No
124620
HVAC PERMIT ..APPLICATION AND RECORD
Owner STEVEN J/MONIQUE M MUELLER
Create Date 05/03/2007
Contractor
MARK WEBER HEATING & COOLING IN
Category 501 - Residential-Air Conditioning
Plan
System
U Gas
~ New
U Forced Air
YU Electric' , '
Chimney Type D Chimney A
l J Oil
U Electric
o Replace
U Steam I
--USuppl: " I
U Solar U Solid
o Other
~ AlC U Vent
UCon. Burnerj
Fuel
BTU Rate
D As Approved
D As Per Plan
U Radiant I
U HotWater . I
() Chimney B
() Existing
() Variable
[) Direct Vent
. Not Applicable
Heat Loss
. Not Applicable
. Other
Value
Value
Use/Nature .SFR !Install new AlC unit. EIV provided by Electrical Construction Services. ""DEBIT ACCT"".
of Work
Fees: Valuation
$1,400.00
~
Plan Approval
$0.00
Permit Fee Paid
$31.00
Issued By:
Date 05/03/2007
o Permit Voided I
Parcelld # 1307280100
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 Cluthority 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.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920)236-5084
~
OJHKOfH
ON THE WATER
HVAC PERMIT APPLICATION
All information 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
lfv'ou are a contractor participatin!! in the Permit fee Account System and have adequate funds. check here
i ou want this' rocessed throu h our account .
JOBADDJlESsl"'~Lb LJ. S~~v(
"OWNER \.,;,. "M.' K\.L~
'CONTRACTOR M~~~ I+~. c.ooc...
DATE
5 t,l67
( AJ c..
CHECK la ALL APPLICABLE
USE CATEGORY
~gld'Family
O'f)u lex
.,,,.P
''''~\i9ii].)',
DMulti-Family
DRental
DCommercial
DIndustrial "
FUEL o Gas
OOil
OElectric OSolid
o Solar
SYSTEM
j'at:!ew
OOther
OReplace
i
TYPE:
OForqed Air ORadiant
'r
OSteam glA!c OVent OElectric
OHot Water OSuppl. OCon. Burner
IS CHIMNEY BEING LINED ONo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTIJRER
CHIMNEY TYPE
HEAT LOSS
BTY RATE
OChimney A
OAs Approved
OAs Per Plan
DChimney B
OExisting
OVariable
ODirect Vent DOther
ONot Applicable
o Other Value
DESCRJ~!.I<?N OF ALL WORK BEING DONE I' ,JS~6~ c""I P ~ A).~ A-<z..
, ' "
.. '
.~.,,>
VALUE
.$ l.tttJO .~O
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ELECTRICALCONTRACTOR (i Q...~
" . 0 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.
9/02
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215 f'hurch :'\ifz~me
PO Box 113C
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been contracted
instaHation
for 111M.1(~~,._J:t1-Z.~u..jc...
(Name of party contraGted to)
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.i' ~.. Ul """,;;;';:)'
at.
<)~
nature
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orne"\v
or m;;v/
vlater
and
or new circuit fi)t the replacement of
!
the addition of
or
lS
'jL/W.CD
be
verify
code
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