HomeMy WebLinkAbout0125612-HVAC (furnace; a/c)
o
OSHKOSH
ON THE WATER
Job Address 555 MADISON ST
CITY OF OSHKOSH
No
125612
HV AC PERMIT - APPLICATION AND RECORD
Owner NEAL A MATTHIES
Create Date 07/02/2007
Contractor MARK WEBER HEATING & COOLING IN
Fuel ~ Gas I U Oil
System o New ~
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type KJ Chimney A () Chimney B
Heat Loss o As Approved C) Existing
BTU Rate KJ As Per Plan C) Variable
Category 502 - Residential-Both
~Electric
~ Replace
U Steam
U Suppl.
. Direct Vent
Plan
U Solar U Solid
o Other
~ AlC U Vent
U Con. Burner
() Not Applicable
. Not Applicable
.~ Other
Value
Value
Use/Nature DUPLEX (ONE SIDE) / REPLACE EXISTING FURNACE AND AlC, EIV SIGNED BY ECS (GREG DAVIS)
of Work
Fees: Valuation $3,400.00
Issued By: ~o-
Plan Approval
$0.00
Permit Fee Paid
$61.00
Date 07/02/2007
o Permit Voided j
Parcel Id # 0402800000
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 -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 ofInspedion 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 permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR ~
ffv'ou are a contractor TJarticipatinf! in the Permit fee Account Svstem and have adequate funds. check here
i ou want this' rocessed throu h our account .
DATE
lOll ADDRESS~~ 11.qj)r<; b if ~
OWNER .". M.t1r1T.r;tS (ArJO lfYl)$TI~V)
CONTRACTOR./7"i9Ad ~ ,rh?? ~-/<f, l~K2f .
?1.<:J7
CHECK iii ALL APPLICABLE
USE CATEGORY
DSingle Family )irt>uplex DMulti-Family
ORental
DCommercial
Ofudustrial ..
FUEL
~
DElectric DSolid
DSolar
SYSTEM
dNew
DOther
~eplace
TYPE
~orced Air DRadiant DSteam iC(NC DVent DElectric OHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED~No DYes - LINER SIZE & MANUFACTURER
Note: All cbiinneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChimney A DChimney B ~irect Vent DOther
HEAT LOSS DAs Approved o Existing DNot Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DES91JPTI? N OF ALL ;V. O~ ~ING DONE ~ ~y i)..r "EX 1 m,uL
. /::1ut1 ~4R..;c>. AnJO ~ /)J",r(]if ~__~_
VALUE _ .$ ~. 0()
ELECfRlCAL CONTRACroR ::Ii C:.<j tal'!r?, - _ _ . tS.J
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.
9/02
.;:i
of lnsj)E,('1km SEtVtC~:5
:115 Clmrch .AvenL~
PO B(1;};, } i JO
{}.5h~;{I-1h vn 5490J-i i30
O{fk~ 920..236~505n-
Fox 92U"i36-50Z,4
r
to
~~tI'~..rll~'Jt~:~'/~
(Name of party to)
.g~.../!1iV)15Di"'J..
(Address where
,,,,~_~,,,,,,~__~._,~,,,,,~__"~,_~,,,,.._^,<_,",.,. _'''T",".~",^".'~''~_~''.''''_'_'~"''C'-''_~~__~__~_.''_''''''~''..- '
\viU be
or
,,,;s
01" fiCtll
for
or
or nevI
to siding I soffit installation.
a
for
to
~_.....,.,._._.,.,_.._..__"...._~."..,....,._,~M""""""~""_O''"""~_'''''=y,...~~."",,"_~~',,_~,,_,,',,",,__,,'''''~_D''_'". ... ....".>."._".,_,_,._____.."._,,,..,."""'_,__''''_~-,._.._"...._..,....,....,..,..~.~""_,."'<"',..,.."_~,,H~'_,,..,___.,.,,.__""'.,--~~."~;"'~.~."...,....~-...-~"...*.....',,..,.,-..~,..-..~
<_~"..,,,....._".~___~,~._,.__~,....~_""..~..,..~""._.""~"-><,'~.y~"..',.c._~.___'~,.,..,,~._'_
, (~ 2~?o..Q
15 >1>'-7CAJ,,:,V ...........
by an emplo:vee of this
compliance
7~~~.d27._._.
5'02