HomeMy WebLinkAbout0127570-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 822 MCKINLEY ST
CITY OF OSHKOSH
No
127570
HV AC PERMIT - APPLICATION AND RECORD
Owner NICOLET APARTMENTS I LLC
Create Date 10/30/2007
Contractor
MARK WEBER HEATING & COOLING IN
------~~--_..._-_.....__._----_._--
Category 50~- Residel1.!i<3I:.Heat~~t~_\IenJi.La!~~ Plan
Fuel
~ Gas ----::i
IT~_-=:J
IT~El_~j~___-::J
IT~EI<I~===-l
D~_~lid ===~]
System 0 New ~Rel?lace _____~
l.{j Forced Air D:Radiant D-steam __~ IT~=====]
U Electric O~~ Water ~ LlSuppL__~=-=:J UgE.':'~~~~G
Chimney Type _-Chimney A Q~~imney B -==~=D Dir~~~ Vent--==~:D NotAEtllicable ___J
Heat Loss [r~=-~~_TI-EXfStTng--::=-=-:==-_ '--Nof:6ppIT~<3~lEi:===--_J Value
BTU Rate ~As Per Plan:_ ~_Variabl~_=== __OtheC-=-====== Value
Other
DY~_~I=:-==::]
Use/NatureSFR/REPLACE EXISTING FURNACE, EI\/s-fGNED BY ELE-CTRI CALCO NsfRUCTio1;:r SERVICES LLC(Greg-OaviSf**debt aceT-
of Work:
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I
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l___________________ _________ _________________________________M..___________________--------------
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Fees: Valuati~ _.;;._^--{'--~1..,~O.OQ
Issued By: ~
Plan Approval _______J'O~O.Q
Permit Fee Paid
_______J~~,QQ
Date 10/30/2007
o Permit Voided I
._-----~._-
Parcelld # 0504950000
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
~
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 pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
lfv'ou are a contractor particilJatinf! in the Permit fee Account System and have adequate funds. check here
if you want thislJrocessed throuf!h your account ~l... . .'
. . .
DATE /LJ~ 5b -<J')
JOB ADDRESS -1?- 2-. J/'1 C 1I>}I1/( e~
'OWNER .$771~/(JtJ'T1-
. CONTRACTOR /'1J4n,( ~ /k.~
CHECK It1 ALL APPLICABLE
USE CATEGORY
%single Family ODuplex OMulti-Family
ORental
o Commercial
OIndustrial .
FUEL
RGas
DOi1
OElectric DSolid
o Solar
SYSTEM
ONew
o Other
~eplace
TYPE
porced Air
DRadiant
DSteam ONC DVent
DElectric
OHot Water []SuppL DCon. Burner
IS CHIMNEY BEING LINE~o DYes - LINER SIZE
Note: All chinmeys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
5'fChimney A
DAs Approved
DAs Per Plan
DChimney B
o Existing
DVariable
DDirect Vent DOther
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE ~ ~/l1€2vJ Or -eJ? 6/'NL ;::;.., r;.IV~-C-
/A/r1P'f /hV FW IJ~
VALUE ~ .$ /&I'~,()~
ELECTRICAL CONTRACTOR &5 c. n& 0 l4.-tJf 3
o For applicable projects, an Electric Installation Verification fo signed by the Electrical Contractor, must be
attached. If not attached or not applicabl"e, a separate Electrical Pernrit is required.
9/02
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City of Oshkosh
D;';5;00 of InspccllOIl Servicc,
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-!130
OlflCe nQ-236-5050
Fax 920-236-5084
Electric Installation Verification
I (We)
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t:- \ "( (~n ,~ ,IJ""", . '\ )).,,;-,>,1 " 1(' \. 'A~. . . ).~}t. ~ i \ ..' ;;:':.-0"', V\,'\r'}"~_
(Electrical Contractor Name)
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(Address)
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(City)
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(State)
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(Zip Code)
":7 .~
~~.~~')e ~"
have been contracted to perfoIDl electric installation \-vork for /14rZ t( We:: F5l":7L }-/-"1(..-,,-,
(Name of party contracted to)
at the foHowing address:
'Z).. J- Me.. ~ t JJ c-e..~
(Address where work willbeperfonned)
The nature of the work consists of: (Check One or Describe the Nature ofVvork)
-L Reconnection or new circuit for replacement Heating Plant andior AlC CondeI',ser.
ReCOlmection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will require a separate permit.';
Reconnection or new circuit for the replacement of other permanently wired
appliances I fixtures.
New circuit for the addition of AlO to an individual dwelling unit (house or the
individual systems in a duplex'or condominium), including required service
electrical outlets.
Other
The value of this work is $~tL-.C2t2-.
I hereby verify this work wiiI be performed by an employee of this company and further verify
the reconnection I installation ~ill be done in compliance with manufacturer and Electric code
reqUirements.
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~\-.':'--~~i~~\T\'~-'~::)"~''''-~
(Signattlre qrG.'ompanyOfficer)
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/0 r 70-6'7,
(Date)
(~.~}~i-.J;[:T '.\.'),<~..:c.:CL~'~:,
(Print Name of Officer)
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5/02