HomeMy WebLinkAbout2007-HVAC (furnace)
o
OSHKOSH
ON THE WATER
Job Address 1342 REED AVE
CITY OF OSHKOSH
No
127787
HV AC PERMIT - APPLICATION AND RECORD
Owner ALPINE PROPERTY MANAGEMENT LLC
Create Date 11/13/2007
Contractor
MARK WEBER HEATING & COOLING IN
Category 500 - Residential-Heating & Ventilating
Plan
Fuel
l!J Gas U Oil U Electric I U Solar
o New 0 Replace ~
~ Forced Air U Radiant U Steam UNC _~
U Electric ~ Water ~ U Suppl. ==:J D~~n._~~r~~~]
D_fJ:ll~~~A_-=clnghi!J1neLB~~_~~:=~__.P!r~ciJZ~6~~-.--~~~~-D~of,i\ppll<:~:~I~~-==l
D~~APP!.Q~_~~L====_D:~~i~ti~~L~~==-~_:-~:~~:.~~t,ll.PPli~abfe ::==~~] Value
a:~~~~T"Plan-'-:==::::~II5I~~i~_~le_~:=~==-::~=.:::c:>t~~T:=:_-_- :-::::::::::] Value
,
__J
U Solid
D_()ther
D_Vent -==-J
System
Chimney Type
Heat Loss
BTU Rate
Use/Nature ~FR / Replace furnace. EIV provided by Electrical Construction Servlces:-**DEsTt ACCT**:--------
of Work
I
I
i
I
I
____J
Fees: Valuation
$1,600.00
Plan Approval ____~:9Q
Permit Fee Paid $34.00
~-~_..._.__._---_._.._._..- .----
Issued By:
Date 11/13/2007
o Permit Voided I
Parcelld # 1205070000
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
ON THF WATFR
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
If you are a contractor participatinfl in the Permit fee Account System and have adeQuate funds. check here
if vou want this processed through your account OiL.
. , t'
** 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.
DATE Ii 1")3-0/
JOB ADDRESS 1"3 c.t2, f{;e;eO
OWNER ?ttAn/ -?77LHJl~
CONTRACTOR /1'111--P?P(~.ft!91 ,.4=:rz
CHECK 0 ALL APPLICABLE
USE CATEGORY
~ingle Family ODuplex OMuIti-Family
o Rental
o Commercial
o Industrial
FUEL
)?1Gas
DOil
DElectric DSolid
DSolar
SYSTEM
DNew
o Other
~eplace
TYPE
~Forced Air DRadiant DSteam DAlC DVent DElectric DHot Water DSupp1. 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 o Other
HEAT LOSS DAs Approved DExisting DNot Applicable
BTU RATE DAs Per Plan DVariable DOther Value
D~~R, IPTION / SCOPE OF ALL WORK BE, ING DONE hz.;I(~~f~ ~t 5f7wL
~V1p11ftC~ Ul \T71- 14. A/ -j>;:vJ ~~
VALUE (Including labor and materials) $ /tt M ~
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07
Ciiy of Oshkosh
Diyision of Inspeet10n Services
215 Churell A venue
PO Box 1130
Osl'J;osh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
I (We)
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\::-__. \ 'O.'l (, __~ l, '1;.4>. ;v.,~_'i..";'J_ -~ 'l->'_(~,-,~...-0,..-~t. { \, J t "~ \., ~',~.i ~:~,. J~::~.1l-~ ~. :- ~:;:~::.~-:,..~/
(Electrical Contractor Name)
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(Address)
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(City)
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(State)
(Zip Code)
have been contracted to perform electric installation work for /'f.1&-n/ /1;)~. #7C':'
(Name of party contracted to)
at the foHowing address: I 3 L/2 R..e:c:7.?
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
.-f)( Reconnection or new circuit for replacement Heating Plant and/or AIC Condenser_
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection 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.".
Recoill1cction or new circuit for the replacement of other permanently wired
appliances I fixtures.
New circuit for the addition of AlC to an individual dwelling unit (house or the
individual systems in a dUl,lex or condominium), including required service
electrical outlets.
Other
The value ofth1s work is $ ~eI. /D
, (
I hereby veri fy this work will be perfomled by an employee of this company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
reqUIrements.
(Print Name of Officer)
//,j;?t??
(Date)
'Ii
5/02