HomeMy WebLinkAbout0124808-HVAC (furnace)
G
OSHKOSH
ON THE WATER
Job Address 1036 COOLIDGE AVE
CITY OF OSHKOSH
No
124808
HV AC PERMIT - APPLICATION AND RECORD
Owner EMERY NELSON
Create Date 05/16/2007
Contractor MARK WEBER HEATING & COOLING IN
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type o Chimney A () Chimney B
Heat L.oss r) As Approved () Existing
BTU Rate r) As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
U Solar I Solid
D Other
U AlC U Vent
U Con. Burner
() Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFR / REPLACE EXISTING FURNACE WITH NEW, EIV SIGNED BY ELECTRICAL CONSTRUCTION SERVICES LLC "debt acct
~~~ .
Fees: Valuation $2,000.00
Issued By: ~8-
Plan Approval
$0.00
Perm it Fee Paid
$40.00
Date 05/16/2007
D Permit Voided I
Parcelld # 1607250000
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.
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nature
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or lle\V
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orne',\i
v/ater
and
Entrance Cable,
due to siding I installation.
re.quire a separate penniL/
or nevI circuit the
Service
A/l? to an individual
in a duple:lor condominium),
is $_./dl)~_l20._.,
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City of Oshkosh
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.
· 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 pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
lfvou are a contractor Darticipatinf! in the Permit fee Account System and have adequate funds. check here
i au want this. rocessed thrau h our account .
DATE 5) I~/()/
JOBADDRESS /O...3G (!oL..LlCo-C:
.OWNER~Lf .~~
.CONTRACTOR..-A1P9;1/ ~ ~ ~ J;U~ I
CHECK m ALL APPLICABLE
USE CATEGORY
~gle Family DDu,plex DMulti-Family
DRentaI
o Commercial
DIndustrial ..
FUEL
MGas
DOi!
DElectric DSolid
o Solar
SYSTEM
DNew
DOther
~eplace
TYPE
~rcedAir DRadiant DSteam DNC DVent DElectric OHotWater DSuppl. DCon. Burner
IS CHIMNEY BEING LINED~..DYes ~ LINER SIZE
Note; All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
tJChirnney B
DExisting
DVariable
,mffiirect Vent DOther
DNot Applicable
DOther Value
~RIPTIONOFALLWORKBEING. DONE .1kP~6F-FR6T?PJ~
J/1M).t:J~ UI77f- /9'.~) O~ .
VALUE ,$ d?Jt'O Z)O
ELECTRICAL CONTRACTOR ~.S ~11::l!Z ~/5'
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.
9/02