HomeMy WebLinkAbout0127242-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1580 BRENTWOOD CIR
CITY OF OSHKOSH
No
127242
HV AC PERMIT - APPLICATION AND RECORD
Owner MR/MRS ROBERT G EICHEL
Create Date 10/12/2007
Contractor
MARK WEBER HEATING & COOLING IN
Category ~.90 - Resi~~nJ.i~l-Heatil~_R~Yentila!iI1JL___ Plan
BTU Rate
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Q_ti~__________.J ~__~eE~~~__"_"__n __.I
[tiT~~~~C D~~adia-nT-~=i D~sre~_rrl~~~~ D-1Y.~~-=~~=_:
U__E:lectric____~ ITFOi Wate.r:=:] U S_U2~C'::==] D:~I"I::-~~~i:.J
0_ ChimneyA---=nChinmey B --::~]==.:IJ Di~~5f=='::::]=-._ Not Applicabie-"]]
rr-~<?~d____-=OEXiS~-:=---__-. Not Applicable .J Value
(2 As Per Plan D Variable__------------:._ Other ..J Value
[I~cili~_ ___=:_]
Fuel
System
Chimney Type
Heat Loss
Use/Nature S"FR / REPLACE EXISTING FURNACE, EIV SIGN-ED BY ELECTRICALCONSTRUCITON SERVICES, LLC(Gre-gDavis)"**debt acct---j
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Fees: Valuatio6, _-:--:- $1,800.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
__$37.00
Date 10/12/2007
D Permit VoidedJ
-.---
Parcelld # 1321900000
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.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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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
J
ee Account S stem and have ade uate unds check here
** Advisory - For applicable projects, an Electrical Installation Verification (EN) 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 EN when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE ~ ~ //t- 0)
JOB ADDRESS /5'ZtJ ~ {L.=gV,l;)ty". () c..e..,
OWNER ~ro B~ 'E./ C-~
CONTRACTOR f11J471.tL (^\~. tk:.~TI~ ~Q.t)()UJb /.uQ.,
CHECK 0' ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex DMulti-Family
DRental
o Commercial
o Industrial
FUEL
~as
DOH
DElectric DSolid
DSolar
SYSTEM
DNew
o Other
~eplace
TYPE
~ced Air DRadiant DSteam DAlC DVent DElectric DHot Water
IS CHIMNEY BEING LINE~o DYes - LINER SIZE
Note: All chimneys shall be sized ~r th~ BTU's being vented.
CHIMNEY TYPE DChimney A DChimney B ~irect.vent
REA T LOSS DAs Approved DExisting DNot Applicable
BTU RATE DAsPer Plan DVariable DOther Value
DSuppl.
DCon. Burner
& MANUFACTURER
o Other
DESCRIPTION I SCOPE OF ALL WORK BEING DONE ~~LM....-e:-t/1~F) D~ a IS VI ~
~iA..Y1 xl ~-L W 1'(7+,4 AJ~ <6)~.
VALUE (Including labor and materials) $ /~~6 · 00
ELECTRICAL CONTRACTOR (fo'r projects not requiring an EIV Form)
07/07
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