HomeMy WebLinkAbout0125376-HVAC (furnace; a/c)
G
OSHKOSH
ON THE WATER
Job Address 180-196 SULLIVAN ST
CITY OF OSHKOSH
No
125376
HVAC PERMIT -APPLICATION AND RECORD
Owner D & M RENTALS LLC
Create Date 06/18/2007
Contractor MARK WEBER HEATING & COOLING IN
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type K:) Chimney A . Chimney B
Heat Loss D As Approved () Existing
BTU Rate KJ As Per Plan o Variable
Category 502 - Residential-Both
I Electric
o Replace
U Steam
U Suppl.
() Direct Vent
Plan
U Solar U Solid
D Other
~ NC U Vent
U Con. Burner
o Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature Multifamily (#196) / Replace furnace & a/c. EIV provided by Electrical Construction Services. "DEBIT ACCT".
of Work
Fees: Valuation
$3,600.00
~
Plan Approval
$0.00
Permit Fee Paid
$64.00
Issued By:
Date 06/18/2007
D Permit Voided I
Parcelld # 0611520200
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 ur~es 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 -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 (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
~
OfHKOfH
ON THE WATER
HVAC PERMIT APPLICATION
All iillormation 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
I
i
check here
/10 ~/c;'Cp . .
JOB.ADDRESS~. . - . LLLl/".,J
. OWNER/" L /1--
f "
. .
. CONTRACTOR ~19n/ ~E7L /T-:7Z
DATE ~r~f'D7
CHECK Ia ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex ~ulti-Family
DRental
DCommercial
DIndustrial ..
FUEL
~as
DOil
DElectric DSolid
o Solar
SYSTEM
DNew
DOther
&eplace
TYPE
~orcedAir DRadiant DSteam ~AJC DVent DElectric OHotWater DSuppl. DCon. Burner
IS CHIMNEY BEING LINED_ DYes -LINERSIZE
Note: All chinmeys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
~hirnney B
o Existing
DVariable
DDirect Vent DOther
DNot Applicable
o Other Value
:DESCRIPTION OF ALL WORK BEING DONE ~ d/2 ~(ffiA/f
{{/'f5~.~JJ~ I$v~ I1-C-
.$ 3'6)6 ..c0o
ELECTRICALCONTRACTOR -cr2 g, 0~ 8rtJ(~ .
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicabl.e, a separate Electrical Permit is required.
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