HomeMy WebLinkAbout0126802-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1059 TYLER AVE
CITY OF OSHKOSH
No
126802
HV AC PERMIT - APPLICATION AND RECORD
Owner MARK R HANSON
Create Date 09/17/2007
Contractor
MARK WEBER HEATING & COOLING IN
Category 500 - Residential-Heating & Ventilating
Plan
Heat Loss
~as U Oil U Electric__=:J U Solar J
D New ~ Replace_~
l!J ForcedAirl U Radiant U Steam --:=J U NC
UElectric U Hot Water =:J U~___=:J U Con. Burn~
IT Chimney A Qf_~imn~_-=_~_~_.~~~~t V~~~_~~:_O~~]>.ppii01_~___-.J
ITASAPPrQVed~--:-:=_lJ-EXiSting---=======-JJNjf/.\ipiI~abTe:==-_::=J Value
O--As Per Plan___~:=__D:Yar~bTe--=-:_=---=--=-__. Ot~~=::-_:==:===:=:J Value
~9__J
D Other ___J
U Vent -------.J
Fuel
System
Chimney Type
BTU Rate
Use/Nature ~FR / ReplaceTurnace. EIV provided by Electrical-Construction ServiCes:-**DEBIT-ACCT**.
of Work I
I
---~-------'-----l
I
J
Fees: Valuation $1,600.00
Issued By: a/.J-?l~
Plan Approval ______ $O.oq
Permit Fee Paid _____ $34.00
Date 09/17/2007
D Permit Voided I
Parcelld # 1607060000
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 (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.
~i~of Q~l1kosh'
,,.,;,;i.i.piyi'sion ofJnspection Services
P.g. Box I}30
\o.9s~kosh,WI 54903-1130
'.t'>rnOne (920) 236-5050
'~3~Fk~ (920)236-5084
~
OfHKOfH
ON THF WATFR
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
<_':..i','~.;'
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e,..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.
~J'>' OR
;;.' .
1(~~~'U are a contractor participating in the Permit fee Account Svstem and have adequate funds. check here
if vou want this processed through vour account U<t
r '0
** X~Vi~ory - 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
withth~permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will beretumed for completion.
DATEfJ/rh7
" "
JOB ADDRESS ,/[}..57 'T'1LFh
OWNER /'1,t,'l;( 1-fmJ~ J
CONTRACTOJV!1Au,( ~
:I-f7t,
,
CHECK 0 ALL APPLICABLE
USE CATEGORY
A~ingle Family DDuplex DMulti-Family
o Rental
o Commercial
o Industrial
FUEL
JlfGas
DOi!
DElectric DSolid
DSolar
SYSTEM
DNew
DOther
)8E,eplace
1;'YPE
~orced Air DRadiant DSteam DAIC DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~~ DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
DChimrtey B
DBxisting
tlVariable
~.irect Vent DOther
DNot Applicable
DOther Value
DESCRIPTION I SCOPE OF ALL WORK BEING DONE ~ EY'f ;~~ ~I r? F' e,5? i Sn/l.-rf.
r;... V1 ;J~r'-..c t" ,.-1'1+ a. A fe1~) ~ ~ ~
& .. ,-
VALUE (Includinglabor and materials) $ / ~ tJ(} O/J
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07
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