HomeMy WebLinkAbout0126487-HVAC (furnace & a/c)
G
OSHKOSH
ON THE WATER
Job Address 1423 WESTERN ST
CITY OF OSHKOSH
HV AC PERMIT - APPLICATION AND RECORD
No
126487
Owner PATRICIA A JANKE
Create Date 08/27/2007
Fuel
MARK WEBER HEATING & COQ!:!~ Category 500 - Resi~ntial::HeClting & Ventilating
l:::::L9as __~ 0: Oil U Eledili:__~ U Solar _J
~'v\I_______________~ 0~ce
I~L~orced Air J U RadiClnt U Steam I ~ NC
IT~=J U_!::lot Water ---1 ~ppl. =u~~:=J U Con. Burner
D_QI1_Lf!1~~~___==O~~~~____.~~~~==-~=~_O~!!,pplicable
o As Approved 0 Existing . Not Applicable I Value
[] As Per Plan 0 Variable I[]llier- I Value
Plan
Contractor
U Solid J
D Other I
U Ve~~__J
System
Chimney Type
Heat Loss
BTU Rate
Use/Nature S-FR / REPLACE EXISTING FURNACE AND NC, EIV SIGNED BY ELECTRICAL CONSTRUCTION SERVICES LLC (GREG DAVIS)
of Work I
Fees: Valuation $3,800.00
Issued By: ~iYl~-----'--"---
Plan Approval__________ $0.00
Permit Fee Paid
___~6J.00
Date 08/27/2007
O-,=ermit Voided I
Parcelld # 1211470000
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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THF WATFR
HV AC 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 permit(s) wiil result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I e Account S stem and have ade uate unds check here
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE 7)' ~ '2<.. 07
JOB ADDRESS (L! ~ '3 [.(.)6" ~ t.YlJ
OWNER~ ,(hL'"\'"'? -
CONTRACTOR~}/" ~ ~.
CHECK 0' ALL APPLICABLE
USE CATEGORY
~ingle Family o Duplex DMulti-Family
o Rental
o Commercial
DIndustrial
FUEL
&s
DOH
DElectric DSolid
DSolar
SYSTEM
DNew
o Other
Ol:Replace
TYPE
~orced Air DRadiant DSteam DAIC DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChimney A DChimney B ~irect Vent o Other
HEAT LOSS DAs Approved DExisting, DNot Applicable
BTU RATE DAs Per Plan DVariab1e DOther Value
Dp.cRIPTION I SCOPE OF ALL WORK BEING DONE ~ P4C:~ }rtJ r o"s'Q''S 'D1l-{,.
f-rA.)4 't/I/ ~4t". -:€ AN.f) v+. (2 ,
& MANUFACTURER
VALUE (Including labor and materials) $
3<; oD. (X:)
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07
"~'i'
,~
ot'Oshko:;'il
Df !nsp€ctk~n Stn"~Ct:;s
21.) ChuTch .At v~~m;'e
PO Boy, 1 1.30
OshkD~h \Vi 54903~i 13-0
Ofi'ic{;
Fax
/"
1 ('IN e)
been contracted to
electric
I ~. \
L1lb1i'.~.LiI-ra.._,
at the foHo'vving address:
_L':lg'3_<~<_~,_JeJJJ1L~.<~-...._-_._._._.
J'lTI
i" ~.4
The nature of the
One or
~Reconnectkm 01" ne\V
Rocormection or new
,;vater heater.
Recmmection
lighting
Entrance
electrical
Other
to
New Service
....._.._-..--.--~~-_..__..............._--.._.---..--T...-'-.._<......-,._.............._.-...."...,,~-..-"_........~..-_.......-.. .,.,......-...,.,-,-.........
The value of this
is $. 26Q :Q,Q__.
veri fy this
reconnectioD I
..~,. ~..~_~.._O _)
5/02