HomeMy WebLinkAbout0125639-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 800 MASON ST
CITY OF OSHKOSH
No
125639
HV AC PERMIT - APPLICATION AND RECORD
,
Owner KAREN M KENTOPP
Create Date 07/05/2007
Contractor MARK WEBER HEATING & COOLING IN
Fuel l.{j Gas UOil
System D New ~
~ Forced Air U Radiant
U Electric I J Hot Water
Chimney Type o Chimney A () Chimney B
Heat Loss o As Approved () Existing
BTU Rate [lAs Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
__J
~
---=:J
I Electric
o Replace
U Steam
U Suppl.
I J Solar :=J
U AlC
U Con. Burner
. Direct Vent C) Not Ap,plicable
. Not Applicable I
==- Other i I
,
Value
Value
Use/Nature ISFR / REPLACEMENT OF EXISTING FURNACE, EIV SIGNED BY ECS (Greg Davis) **debt acct
of Work '
l
I
Fees: Valuation $1,800.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$37.00
Date 07/05/2007
D Permit Voided I
Parcel Id # 0606870700
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.
Sign"!,ture
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 ofOsbkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
(t)
OJHKOfH
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If yOU are a contractor particivating in the Permit fee Account System and have adequate funds. check here
i ou want this. rocessed throu h our account
JOBADDRESS 'Pm ri~()~
. OWNER K-ov-rc:>-f:P ~ ~~
CONTRACTOR/1~,~ l..).A~ !+~
DATE
t3/?/S/67
CHECK IiI ALL APPLICABLE
USE CATEGORY
~ngle Family DDuplex o Multi-Family
DRental
DCommercial
o Industrial
FUEL
,..OOas
DOil
DElectric DSolid
o Solar
SYSTEM
DNew
DOther
)8Replace
TYPE
~orcedAir DRadiant OSteam DAlC DVent DElectric OHotWater DSuppl. DCon. Burner
IS CBlMNEY BEING LINED ~o DYes. - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CBlMNEY TYPE DChirnney A DChimney B ~ect Vent DOther
HEAT LOSS OAs Approved DExisting ~DNot Applicable
BTU RATE OAs Per Plan DVariable DOther Value
DESCRIPTION OF ALL WORK BEING. DONE (!}~L/I-OP7J?eA//,cP;C ~,~T7~
. ~r)J#I)~-dF A//~ A- A.Je2J __ . .
VALUE .$ / $C)I!)
.
ELECTRICAL CONTRACTOR ag tl't-n ,04J7 <j
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.
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