HomeMy WebLinkAbout0127117-HVAC (furnace)
o
OSHKOSH
ON THE WATER
Job Address 35 W 10TH AVE
CITY OF OSHKOSH
HV AC PERMIT - APPLICATION AND RECORO
No
127117
Owner EDWARD E/DONNA L LEMKE
Create Date 10/04/2007
Contractor
MARK WEBER HEATING & COOLING IN
Category 500 - Residential-Heating & Ventilating
Plan
Fuel
UOil
U Electric
2'] Replace
U Steam
U Suppl.
e Direct Vent
0-.9J~e-,"-__~_____1
ove;rt-]
System
I!J Gas
o New
l!J Forced Air
U Electric
D Chimney A
~pproved
~ Per Plan
~
~
I
I
U Solar ~
IT~~i~___J
Chimney Type
U Radiant
U Hot Water
D Chimney B
() Existing
() Variable
() Not Applicable
U AlC I
U Con. Burner J
Heat Loss
. Not Applicable
. Other
Value
BTU Rate
Value
Use/Nature [SFR / Replace furnace. EIV provided by Electrical Construction Services. -*DEBIT ACCT--.
of Wo,' I
I
!
--------------------l
I
I
Fees: Valuation
$1,650.00
~
Plan Approval
$0.00
Permit Fee Paid _______..$35.50
Date 10/04/2007
Issued By:
o Permit Voided I
Parcelld # 0302410000
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 (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 ofInspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
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) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
1 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.
JOB ADDRESS
OWNER .en
CONTRACTOR
25' ?J /b/TU
r ~V--c-
~,e/ tJe~
,
DATE /C).. =3 .67
/-/7?
CHECK 0 ALL APPLICABLE
USE CATEGORY
~Single Family DDuplex DMulti-Family
o Rental
o Commercial
o Industrial
FUEL
Bbas
DOH
DElectric DSolid
DSolar
SYSTEM
DNew
DOther
I){eplace
TYPE
~rced Air DRadiant DSteam DAIC DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
. CHIMNEY TYPE DChimney A DChimney B ~irect Vent DOther
HEAT LOSS DAs Approved DExisting DNot Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESS:WPTION / SCOP. E OF ALL WORK BEING DONE ,,17~~ o?"' ~.Pl6'J7.AL.
h.~ ~ t;,.) 1 ~ 7>>' /) ~J t1,1f rt::::"'
VALUE (Including labor and materials) $
/ C;StJ.
-
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07
"~"'J('{~:1.
''C:Hy ;',fOshk~};h
Divisivn lr,sp{;i~i'an :Sesvkes
;:} 5' Church .'\ ""?;H~X:
P'OBZ1;'., f.130
Off~ct
130
F~x S':~:D-l3~~.5t184
to,
'v./orl(
L'1&2Rtl1)~., ..,./:fJZ..
to)
a~
~nature
.~
r
.is $ . /..R551'l .A ^,
v,~,~-~~,-VG/~U<-/>"-,,-,
z1i1
~ n;::Uler'I!.S,
,':;AJ2