HomeMy WebLinkAbout0127761-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 803 KNAPP ST
CITY OF OSHKOSH
No
127761
HV AC PERMIT - APPLICATION AND RECORD
Owner ROBIN R/BARBARA J CUNDY
Create Date 11/12/2007
Contractor
MARK WEBER HEATING & COOLING IN
Category 500 - Residential-Heating & Ventilating
Plan
Fuel l.{j Gas I U Oil LLElectric==:J U Solar
System D~N~",,_~~~__.__J [~L~epJ<:l~~__~.J
ffFOrced Air I w~~-=J DO Ste~ __ l D AlC -=~.=~
~ctric I ~~.!:::::J U_.~_uipT:=:===____J D~~~=-~jJr_6~CJ
Chimney Type 0_ Chimney A __Q Chimne}'~_~__..__I2Ir~~IVf?l!t.:.:.::==O=f':J<2!1\eQ~ab~e .:-_]
Heat Loss IT-As-Approvecr--.~-uNstrng.-._.--_.---.--N~LAP!?[i~~I:ii=-=:J Value
BTU Rate [) As Per Plan () Variable .---ouwr--- ___J Value
U Solid.:J
Other
D.-~nt =~-]
Use/Nature SFR / Replace furnace. EIV provided by Electrical Construction Services.
of Work
---_....-!
Fees: Valuation
$1,600.00
-.----[l~-
Plan Approval
$0.00
Permit Fee Paid
$34.00
Issued By:
Date 11/12/2007
o ~~it ~oJ.ded I
Parcelld # 0608320000
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 (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, WI 54903-1130
Phone (920)236-5050
Fax (920) 236-5084
ctJ.
OJHKOfH
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 doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
Ifv.ou are a contractor Darticipatinf! in the Permit fee Account System and have adequate funds. check here
if yOU want this processed through your account ~. .
DATE/I. rz., 6 <7
'.. 4 () ') ,J!^ ()D
JOB ADDRESS . V\ ~~X
.OWNER 1{:}/?},0 t{~iIJ~.
. CONTRACTOR .rt~-A ~ ~
CHECK ~ ALL APPLICABLE
!!1. .~ E CATEGORY
rpsingle Family DDuplex
DMulti-Family
DRental
DCommercial
Ofudustrial ..
FUEL
~as
DOi!
DElectric DSolid
DSolar
SYSTEM
DNew
DOther
ijlReplace
TYPE
Worced Air DRadiant DSteam QAlC DVent DElectric OHot Water DSuppl. Deon. Burner
IS CHIMNEY BEING LINED~o DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CIiIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
OAs Approved
OAs Per Plan
DChimney B
DExisting
DVariable
..$IDirect Vent DOther
DNot Applicable
OOther Value
DE~RIPTION OF ALL WORK BEING DONE 4Eii~7t./T ~ r ~~ /,57)~
. ~.n.J1nl/~~~ WI77~ /4 ~ t!1~ {'
VALUE .$ / t'Ot!tJtJ
ELECTRICAL CONTRACTOR ~S .. C:/1~ LJ I1c/l~
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02
City "fOshkosh
Dh'ision of Inspection Ser\'ic~$
215 Church /wcnll<:
PO &>x 1130
Osh!.:osh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
I (We)
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\ f~.t--~:t:-:~~~-i '- )(~~\r-\b,\ ":-')~~.~.It. j,.) '\ (~;~S~-~.~
~. . (Electrical Contractor Name) f
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i.; . 1-:, ..\"3 1--";"
(City)
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'-'"l>~i 5:;~'
(Address)
(State)
(Zip Code)
have been contracted to perfonn electric installation work for /t~J(..I1/... ~~
(Name of party contracted to)
at the following address:
~D~ K'JV>4.Pf'
(Address where work wjUbepcrfonnedf
The nature of the work consists of: (Check One or Describe the Nature ofVvork)
+--
Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser.
Recol1nection or new circuit for replacement Electric Water lIeater or power vented
water heater.
RecOlmection of the Service Entrance Cable, Meter Box, alterations to rec~ptacles
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 pem1anently wired
appliances / fixtures.
New circuit for the addition of Ale to an individual dwelling unit (house or the
individual systems in a duplex'or condominimn), including required service
electrical outlets.
OHler
The value of this work is $. /~ I, t:' 0
r hereby verify this work will be performed by an employee of this company and fbrther verify
the reconnection / installation ~vill be done in compliance ,\rith manufacturer and Electric code
reqUirements.
~. .
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\.,,,.:_....~'j~:~!\;:\..~-:),'--~
(Signattlrc.s{6;ompailY Officer)
(Print Name of Officer)
/Ij,?-o' ..
----U------
(Date)
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5/02