HomeMy WebLinkAbout0126275-HVAC (furnace)
o
OSHKOSH
ON THE WATER
Job Address 1504 KNAPP ST
CITY OF OSHKOSH
No
126275
HVAC PERMIT -APPLICATION AND RECORD
Owner MARY M STAERKEL
Create Date 08/15/2007
Contractor MARK WEBER HEATING & COOLING IN
Fuel ~ Gas UOil
System n New
~ Forced Air U Radiant
U Electric I J Hot Water
Chimney Type K) Chimney A () Chimney B
Heat Loss () As Approved () Existing
BTU Rate K:) As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
o Not Applicable
I Electric
~ Replace
U Steam
U Suppl.
. Direct Vent
. Not Applicable
. Other
Value
Value
Use/Nature SFR / Replace furnace. EIV provided by Electrical Construction Services.
of Work
$1,400.00
~
Plan Approval
$0.00
Permit Fee Paid
$31.00
Fees: Valuation
Issued By:
Date 08/15/2007
o Permit Voided I
Parcelld # 1306900000
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
AgenUOwner
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 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 information after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and fee(s) can be br~ught 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 $lOO.OOiplus the
normal permit fee, which ever is greater.
OR
I 'ou are a contractor artici atin in the Permit unds check here
i ou want this' rocessed throu hour account
DATE 1; .~(S 'OJ
JOB ADDRESS I~D~/ t!yJ~p
. OWNER..L1M2 vf . S-r::-J4e---n!t< L..:p-
. CONTRACTOR /f4z2)(~, ~ ~~c...
CHECK It[ ALL APPLICABLE
USE CATEGORY
~ngle Family DDuplex DMulti-Family
DRental
o Commercial
DIndustrial .
FUEL
~s
DOil
DElectric DSolid
o Solar
SYSTEM
DNew
o Other
~ep1ace
TYPE
~rcedAir DRadiant DSteam DAlC DVent DElectric DHotWater DSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE
Note: All chittmeysshallbe sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEA TLOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
dChirnney BcB1Pirect V:ent DOther
o Existing DNot Applicable
o Variable o Other Value
DESCRIPTION OF ALL WORK BEING DONE ~.ifc.~7-0,c:~ IG~k hl?d.J /tee
I~/TH A- ~J 6~
VALUE
.$ / 9'e>O .00
ELECTRICALCONTRACTOR G:(!./;). t;t?EZ. OIIV/<:; .
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. Ifnot attached or not applicab~e, a separate Electrical Permit is required.
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