HomeMy WebLinkAbout2007-HVAC (furnace; a/c)
e
OSHKOSH
ON THE WATER
Job Address 901 WASHINGTON AVE
CITY OF OSHKOSH
No
126031
HV AC PERMIT - APPLICATION AND RECORD
Owner FELICIA F JACOBSON
Create Date 08/01/2007
Contractor
MARK WEBER HEATING & COOLING IN
Fuel
~ Gas
D New
~ Forced Air
U Electric
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
Plan
UOil
U Radiant
DHot Water
U Solar 0 Solid
D Other
~ AlC U Vent
U Con. Burner
I
I
l
System
Chimney Type 0 Chimney A () Chimney B __ Direct Vent UNot Applicable ~
Heat Loss 0 As Approved ____~__Q Exi~ting_==~=-===-_. ~QfApplici6je-=====:::J Value _____________
BTU Rate 0 As Per PIa:n------Uya~_=====~~========:::J Value _____ ________________ _
UselNature ,SFR / REPLACE FURNACE AND AlC UNIT, EIV SIGNED BY ELECTRICAL CONSTRUCTION SERVICES LLC, GREG DAVIS **debt aCctl
of Work.
l
Fees: Valuation $4,000_00
Issued By: ~~
Plan Approval
$0.00
Permit Fee Paid
$70.00
Date 08/01/2007
D Permit Voided I
Parcelld # 0202580000
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 qfInspection Services
P.O. BoiTbo
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVED
JUL 3 1 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
~}
OfHKOfH
ON THE WATER
HVAC PERMIT APPLICATION
All information 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
I 'ou are a contractor artici atin in the Permit check here
ou want this' rocessed throu h our account .
DATE 7 /3 I /0 '7
JOB ADDRESS Cfa 1 (.-JOt ~ h:}'l ~f~J1
, OWNER ~ c ob ~~ '1)'"
CONTRACTOR l'i1~ l"" k t.-/e 1.,0.(.,1 /-II-vJ
CHECK fa ALL APPLICABLE
USE CATEGORY
~Single Family ODuplex o Multi-Family
ORental
o Commercial
Ofudustrial "
FUEL
~Gas
o Oil
DElectric DSolid
o Solar
SYSTEM
DNew
o Other
.J8Replace
TYPE
I8lForced Air DRadiant DSteam 81NC DVent DElectric DHot Water OSuppl. DCon. Burner
IS CIIIM:NEY BEING LINED~No DYes - LINER SIZE
Note: All chitnneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
OChimney B
DExisting
DVariable
_Direct Vent DOther
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE Ro..p'o.c '( V'tlCh i b f ,oVvnCl(., e.. -p Ale
t..-" ~ j t... h 0-.../ un d
VALUE ~'L~VOO.l 00
ELECTRICAL CONTRACTOR e:CS C~ .oM <)
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
RECEIVED
JUL 3 1 2007
DEPARTMENT OF
COMMUNTIY DEVELOPMENT
INSPECTION SERVICES DIVISION
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