HomeMy WebLinkAbout0127854-HVAC (furnace; a/c)
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OSHKOSH
ON THE WATER
Job Address 420 HAZEL ST
CITY OF OSHKOSH
No
127854
HV AC PERMIT - APPLICATION AND RECORD
Owner PETER MALCHOW/J MACKLIN
Create Date 11/15/2007
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Contractor MARK WEBER HEATING & COOLING IN Category 500 - Residential-Heating & Ventilating Plan
Fuel l.-:l Gas I U Oil I U Electri~____J Wolar _~ U~~___]
System ru~____J ~_B~place _~____~_ _.J D_Oth_er
l!J F~~~~ cr Radian~=~~] [J]3}~~~--~--] 0::i>J~~~=_==] D-\J~r1!~===~~n_!
U_E~_<:tljc;___J ITt'~t W~~-~J IT$~epr.---=__~J D=~~~~~r6"~~=J
Ch im ney Typerr~h}I11.6"~l_~__=__~-=O~QhEi5~=~-_~--~-----=.=I:>IrectY~6~__= .-=:-::0 -~QCA.ee~c~~.i=- --]
Heat Loss D=~~__==_==:D~i=:-~-= -:===-=-tf<{~ep]ca~~===~=J Value _n_~_____
BTU Rate Q!\S Per Plan 0 Variable .~------ J Value ___________
Use/Nature ISFR / REPLACEMENT OF EXISTING FURNACE AND NC, EIV SIGNED BY ELECTRICAL CONSTRUCTION SERVICES LLC (Greg
of Work Davis) **debt acct
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Fees: Valuation $3,500.00
Issued By: ~~
Plan Approval ____.!9.:QQ
Permit Fee Paid $62.50
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Date 11/15/2007
D Permit Voided J
Parcelld # 1101010000
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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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 $100.00 plus the
normal permit fee, which ever is greater.
OR
I
unds check here
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JOB ADDRESS II~ () l/-rr"-Z.-cz
.OWNER 1e7EYl /'1/fz-CNO<J
. CONTRACTOR /11 ~41/f t/ /A"~~ f'-flC
DATE/ / ,~) ~/.-O /'
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CHECK IiJ ALL APPLICABLE
USE CATEGORY
Q(Single Family DDuplex DMulti-Family
DRental
o Commercial
DIndustrial ..
FUEL
.~s
''[I Oil
DElectric OSolid
o Solar
SYSTEM
ONew
o Other
)SIR.eplace
TYPE
J81Forced Air ORadiant OSteam DNC OVent DElectric OHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED ,JaN.o DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE OChimney A OChinmey B BDirect Vent OOther
REA TLOSS DAs Approved o Existing DNot Applicable
BTU RATE OAs Per Plan DVariable o Other Value
D~PTION OF ALL WORK BEING DONE ~e:tj j4't3:e::..~ eCV70F e'R /JI7a/?
. fI.-rAVlIA1+e,;r-, ."b-u,() J4 (1 . t() /'7")+ ~ /tfe:1J r'5JV-e:>
VALUE .$?SOO , Dr)
ELECTRICAL CONTRACTOR ezJ 5 0/"J-El O!ft/;<)
o For applicable projects, an Electric Installation Verification fonn, signed by the Electrical Contractor, must be
attached. If not attached or not applicabl.e, a separate Electrical Permit is required.
9/02
City of Oshkosh
Phision of 1l'.spe<:tioll Service;
215 Church A ,'CIltJ.e
PO R'lx 1130
Oshkosh WI 54903-1130
Offlec 920-236-5050
Fax 920-236-5084
Electric Installation Verification
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\.. _c--,,~~,-':;-''''''-{ \. p. \\, 'i'::~ i ~.1 -- ':1 ~ _ ~ _ ,.' ~
~'(ElectricaI Contractor Name) I
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(Address)
71
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(City)
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(State)
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(Zip Code)
have been contracted to perfoffil electric installation \-vork for ~~-P-r-E7\ I ,~ ,"
(Name of party contracted to)
at the following address:
Lj;< b
lIA~.€L5'
(Address where work ViillReperforrned)
The nature of the work consists of: (Check One or Describe the Nature of-VJork)
;c... Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser.
Reconnection or new circuit for replacement Electric "01 ater 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 pemlit.)'
Reconneetion or new circuit for the replacement of other permanently wired
appliances I fixtures.
New circuit for the addition of Ale 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 $
35o:D'J.
I hereby verify this work will be performed by an employee ofthi$ company and further verify
the reeounection I installation 'iVill be done in compliance with manufacturer and Electric code
reqUirements.
if t '~''''^--' "'"..
t.",," ,.~~;~~le:~~.-._~::).~~~--~
(Sig~a;~;re ,g{(:;{O~lpany Officer)
(Print Name of Officer)
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(Date)
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5/02