HomeMy WebLinkAbout0124885-HVAC (furnace & a/c)
e
OSHKOSH
ON THE WATER
Job Address 1620 BRENTWOOD DR
CITY OF OSHKOSH
No
124885
HVAC PERMIT -APPLICATION AND RECORD
Owner GLEN UIRIS I LIENHARD
Create Date OS/21/2007
Contractor MARK WEBER HEATING & COOLING IN
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant I
U EleCtric ....U Hot Water' I
Chimney Type o Chimney A C) Chimney B
Heat Loss o As Approved () Existing
BTU Rate o As Per Plan () Variable
Category 502 - Residential-Both
U Electric
~ Replace
U Steam
USuppL
. Direct Vent
Plan
U Solar U Solid
D Other
~ AlC U Vent
'U Con, Burner
C) Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFR / Replace fumace & a/c. Install 3" chimney liner. EIV provided by Electrical Construction Services. "DEBIT ACCT",
of Work
Fees: Valuation
$2,500.00
~./:?
Plan Approval
$0.00
Permit Fee Paid
$47.50
Issued By:
Date OS/21/2007
D Permit Voided I
Parcelld # 1318120000
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
Iholder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
1075 ISLAND ESTATE CT
OSHKOSH
WI 54901 -1341 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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All infonnation after bold categories must be provided.
Incomplete applications will not be processed.
~
OfHKOfH
'ON THE WATER
· 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
I
ee Account S stem and have ode uate unds check here
JOBADDRESS j;}D, i,!k:lJr r...:xoQ
. OWNER a . . LOtti J/-wtO
'CO~TRACTOR l'1 Ml( ~ '/~~Lt., ItJc..,
,
!
DATE-5J~llo")
,
CHECK m ALL APPLICABLE
USE CATEGORY
~ngle Family ODuplex OMulti-Family
ORental
o Commercial
DIndustrial .
FUEL
!lGas
DOil
DElectric DSolid
DSolar
SYSTEM
DNew
Dather
~eplace
TYPE
l~orced Air DRadiant DSteam j!J..NC DVent DElectric DHot Water DSuppl. DCon. Burner
n C
IS CHIMNEY BEING LINED DNo !)!Yes. - LINER SIZE 3 & MANUFACTURE~r~ ... L.
Note: All chinmeys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChimney A DChinmey B ~irect Vent DOther
REA T LOSS DAs Approved o Existing DNot Applicable
BTURATE DAsPerPlan DVariable o Other Value
DESCRIPTIONOFALLWORKBEINGDONE AA~~-F-:PRJ~ ~I\p.)~
~ ~ 1+, 11. ~ Ar.1D I Tl1:~ l() t""r"'H 1 J.eJ.J 1"11 ~ .'
~6
VALUE . _ .$ O?S dO ,e() Ij.q ~ .
ELECTRlCALCONTRACTOR e:c...S; (6t2:f~'::z., OtiJf~) '" ~
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
City Df O:.;hko.sh
D;':~;:it{}n of Ins'P'f:;air:n S~~r\'i_c.i,$
215 ClwH:h A\~en}1~
PO Bo~ ~ J 30
Osh.~0sh \V} 130
Offict:
f;~x 920-:Btj.50S"i
i
to
-l'1frt1J(__~~ "'_ ~r~_._._,
to)
at
'1dr17"v,s' /6, 01.... g/">;;.-~. "\""".....0
<~, ,.~_J.J. t:;,:-'~-.r -e', __..:t2\V'-'''~'>'''''4.,,"~.!:''!f:;I;;_~",L~_,_J:t:d..~"._ ,_,_
work
nature
ot:
or
of
.~
or new
or ne\A;'
replacement
and/or Ale
or pOYler
viatel"
and
Senrice Cable,
to siding I
require a permit.,-
the replacernent
to
Ne\v
wired
of A/Gta an individual
a duplex en
-'-'-__'~_"_~_~""'___'_""~~"'''''''''''''''~_'~_","''~'''_,,",_''''''''''''''_'''_''''''''''',~_~__-----,_-_"""""",,,,,,,__'~~_"""""u_"'___~"-~__>~~~'~_.,,_~~_,____,,-_......,,."".,..,^"'"'...,___.___........,.<<_.....~_____."""'_,.._"''''''~_ __.
..._.~--,,...-~.~_..'".'..."-'"._,.~,_.~._..-____._____.,....__,._,"'_~.~--w,~,..:.-""~-_~......__~>_~__."""'~_,_______....~"._~."....,....,_.,~~,,...._._,..........,.....~_"""'-"'"........."....,...~___
is 5; .~J2.6~.._o t).~..,
r
an emplo~)!'ee of thi.s
v'{ith
~!~l(~'J
(Date)
5/02