HomeMy WebLinkAbout0126635-HVAC (furnaces)
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OSHKOSH
ON THE WATER
Job Address 10 W SOUTH PARK AVE
CITY OF OSHKOSH
No
126635
HV AC PERMIT - APPLICATION AND RECORD
Owner NORM BOCK
Create Date 09/07/2007
Category 500 - Residential-Heating & Ventilating
Plan
Contractor
MARK WEBER HEATING & COOLING IN
Fuel ~ Gas U Oil I Electric =:J J Solar J Solid J
System n New 0 Replace ___~ D_<2.ther_______J
0fOr"ced Air D Radiant J ~a~===:J ~~== U Ven~_-===]
ITETectnCi O-Hot Water 1 USUEE!:~~=:::J U Con. Burn~J
Chimney Type ITg~Jmney~____O~~himney B _=---=~=--=._ DirEl~L\i'e~~====__O:}i()f~lica5Ie.--==:J
Heat Loss a~~----==--==O-EXiS"iTii"9----====-. ti<!.Lt\jJjlIi~abTe__==-_=J Value ----~-
BTU Rate ITAs Per Plan - D Variable------.-otiler--------== Value
Use/NatureD IUPlex / Replace two furnaces. **EIV provided by Electrical Construction Services. **DEBIT ACCT**.
of Work
------,
Issued By:
$8,500.00
tl/nt/O
Plan Approval
$0.00
Permit Fee Paid
$137.50
Fees: Valuation
Date 09/07/2007
---
o Permit VoidedJ
Parcelld # 0303720000
In the performance of this work, 1 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.
Date
Signature
Agent/Owner
OSHKOSH
WI 54901 -1341 Telephone Number 235-1523
Address
1075 ISLAND ESTATE CT
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 ofOshk6sh
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 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 doub~ed or$100.00 plus the
normal permit fee, which ever is greater.
OR
I 'ou are a contractor artici atin in the Permit
ou want this' rocessed throu h our account
check here
DATE q.-L(-D 7
JOB ADDREJ~ //J UJ. <; 0 lAJrT.J Pt\t^~
'OWNER j(Jt)(Lf'{ 6D~ . '
'CONTRACTOR /1~ri 'A~~ l~~O\. ,,0(; nUL.
CHECK ~ ALL APPLICABLE
usE CATEGORY
DSingle Family ~uplex DMulti-Family
DRental
o Commercial
DIndustrial .
FUEL
)Boas
DOil
DElectric DSolid
o Solar
SYSTEM
DNew
DOther
~eplace
~~edAir DRadiant DSteam DAlC OVent OElectric OHotWater []Suppl. DCon. Burner
IS CHIMNEY BEING LINED ~o DYes. -LINER SIZE & MANUFACTURER
Note: All chinmeys shall be sized per the BTU's being vented.
cIiIMNEY TYPE DChimney A OChimney B ~irect Vent DOther
HEAT LOSS DAs Approved DExisting DNot Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCRIPTION OF ALL WORK BEING DONE (kp( .4c~ l()F TW 0 "EJ(13f'ij(Aif.
..t:rA .Y\ \() ~ fA J I{}A- AJe::z.J n~ '
6'
VALUE $ 'b ~'(") .<J':J . '~ It It ~
I!:LEcnuCAL CONTRACTOR 'F (l ~~ C=, ~=~ "II S . \
o For applicable projects, an Electric stallatlOn Venfication form, sIgned by the Electncal Contractor, must be
attached. If not attached or not applicabl.e, a separate Electrical Permit is required.
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