HomeMy WebLinkAbout0127912-HVAC (furnace)
G
OSHKOSH
ON THE WATER
Job Address 416 N LARK ST
CITY OF OSHKOSH
HV AC PERMIT - APPLICATION AND RECORD
No
127912
Owner RANDY S/RENAE S BEYER
Create Date 11/20/2007
--~---~_.-
Contractor MARK WEBER HEATING & COOLING IN Category ~OQ_~ ~E!~Ld_e..!ltLa!:ljeatirlg~Y~_ntilat!r1R__ Plan _ _ ____~_
Fuel [{J Gas-l U Oil ----I D_EleCtnc==J D-Solar_=~:~=_J D-Solid =-=:_=.::
System 0 New ---.J 0 Replac~_______~ D_()!~eL__~________!
~Forced Air O-Radiant :=J Qteam l []A7C-------j O-Vent----]
~ctric _J U_I::I~~=: U_~EEI~_J U__Con_~!3..u.r:fleiJ
Chimney Type QChimney A () Chimney B ___~_c!..",~__:==O_t-.lot ,,=,pP1fc~!~__=:=:
Heat Loss O::~s_~~-:____D Exi~ting ___._____._I'!QtA~pHca~I~~-:==-=J Value
BTU Rate D-=E~er.'='.?_~_=-===:D_'II'?ri~Ji:--_:=:===:==__=Cm,-er Value
Use/Nature ISFRTREPLACE FURNACE -:Ef'T~:'-IGNED-BYTl.ECTI~ICAI..CONSfRDcfioN -SERVICESTl.C (GreiTl5avls)
of Work;
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Fees: Valuation _~600.00
Issued By: ~:;;-
Plan Approval
$0.00
Permit Fee Paid ____Jl..'LQQ
Date 11/20/2007
o Permit Voided i
_____________.=-=-.J
Parcelld # 1610200000
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
RECEIVED
~
OJHKOfH
ON THE WATER
NOV 2 0 2007
DEPARTlvJENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
HVAC PERMIT APPLICATION
All infonnation 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
lfy.ou are a contractor lJarticipating in the Permit fee Account System and have adequate funds. check here
if yOU want this processed through your account I><t .
/'
DATE /1- ,20;'-'D 7
JOB ADDRESS t/16 A.J. LArt c(
.OWNER ~ANO""'\~~
.CONTRACTORJ1~~ v)~ ~T7JUt,
CHECK ta ALL APPLICABLE
~E CATEGORY
ingle Family DDuplex DMulti-Family
DRental
DCommercial
DIndustrial .
FUEL
)SlGas
DOil
DElectric DSolid
o Solar
SYSTEM
DNew
DOther
meplace
TYPE
plforced Air . DRadiant DSteam DAlC DVent DElectric DRot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED,25lNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEA TLOSS
BTURATE
DChimney A
DAs Approved
DAs Per Plan
DChimney B
o Existing
DVariable
~irect Vent OOther
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE ~ ~ IT CJF ~ai'7T(JtJ~ ~/\vV'It.~
Wi'r14 A ~ QA;r-
VALUE /~ t1 t1 -() t)
.$
ELECTRICAL CONTRACTOR EC..$ (in& t}nj,g .
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicab~e, a separate Electrical Permit is required.
9/02
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RECE.IVED
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NOV 2 0 2007
..... ..I)~pARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
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