HomeMy WebLinkAbout0128198-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1108 JEFFERSON ST
CITY OF OSHKOSH
No
128198
HV AC PERMIT - APPLICATION AND RECORD
Owner ALICIA A WERCH
Create Date 12/18/2007
Category 500 -:...!3~~dential-Heating & Ventilatin_!l~
Plan
Contractor
MARK WEBER HEATING & COOLING IN
BTU Rate
~ Gas D:Oil___~--.1 U__~~_cl"r~-_~=J
D_~ew _____J [!'LR_epJ.a.<::~____
~ Forced ~!!=:J O:-RadianC-:::.-: O_-Stea:f!1: - D=~~:"::-:
ITi l 0 n_'......s...y.....P. p. ...1.:.-... . 0
LJ"~.!El<:t~~:__.J .tl_~tW~t~r"== __ . . ..-<:;~n: ~_urner:,
D::g~.ifi1ne~A==:___~D Ch.im n~y B -:::::=:==.:]Tr~cfY~6r==_:-:- :O-:~~:AFpli~a_~Ii::-]
aJi;s-APPrOvea-----------=-....D_":I~iS~=_:_=:=.===)[Fot)i;ppli~~I~===::] Value
D_~~_i='.~!l'L~Tl__"~_D..'{'!I".@.~l~.:=:=___===:..=QifiE;r_===::=-=c==] Value
~L__
1
___--....J
D-~q~d==='
o Other
D?~~=::.
Fuel
System
Chimney Type
Heat Loss
Use/Nature 'SFRlREPLACE EXISTING FURNACE, EIV SIGNED BY ELECTRICAL CONSfRUCTIO}JS-ERVICESTCC(Gre-gDa-visT"*debt acct"
of Work!
I
Fees: valuati~ $1,800.00
Issued By: }-
Plan Approval_____~JQ:Qg
Permit Fee Paid
.___.__~.32:00
Date 12/18/2007
o Permit Voided I
.._..-_._.~--~-_..__._-~
Parcelld # 1001620000
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
.:LQ?~~_~ND l&TATE <2.~_____"__.__g_~1j~2SH_."____ \IIIl_5.~~_9..~ -1_~~1_ 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 ofIil'spection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~_.
OfHKOfH
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
J ou are a contractor artici atin in the Permit ee Account S stem and have ade
ou want this rocessed throu h our account ,,'
** Advisory - For applicable projects, an Electrical Installation Verification (ElV) 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.
JOB ADDRESS /! tJt
OWNER /TLfCJ A-
DATE /_) J I 1/0 )
~<;ovJ
l.Abe::nC tA-
-
CONTRACTOR MV-b1t!IA~ 1-f=iZ~l"C
CHECK 0' ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex DMulti-Family
o Rental
o Commercial
o Industrial
FUEL
~as
DOn
DElectric DSolid
DSolar
SYSTEM
DNew
DOther
~eplace
TYPE
~orced Air DRadiant DSteam DAIC DVent DElectric DHot Water DSuppI. DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChimney A DChimney B ~irect Vent DOther
REA T LOSS DAs Approved DExisting DNot Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCRIPTION I SCOPE OF ALL WORK BEING DONE ;;(e:Pt Ae.~ ~ 9"'6 ,r"
eX '51J~h r:;".4 h/~--~/771-J4.-/{)~~f?J~
VALUE (Including labor and materials) $ / <;! t'5O ~a2J
.
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07
~;,;i"
t
City of Oshkosh
Division of Inspection Services
215 Church Avenue
POBox 1130
Oshkosh WI 54903-1130
Office 920-236.5050
Fax 920-236-5084
Electric Installation Verification
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\" C'}.--c;,j"c'-:;"c1 ~"'- "tf~ir'~",,- i ~ ~.-~ 1, ~ ~ _ ~ ~~. .
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(Electncal Contractor Name)
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(Address)
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(State)
(Zip Code)
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(City)
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have been contracted to perfoffil electric installation work for 1'1 Mil' ~en ~
(Name of party contrncted to)
at the following address: ,/ / () <6, ~-CvC't0?c;.~
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
~
Reconnection or new circuit for replacement Heating Plant and/or NC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater. "
Reconnection of the Service EntranceCable, 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 / fixtures.
New circuit for the addition of Ale to an individual dwelling unit (house or the
individual systems in a duplex or condominiUln), including required service
electrical outlets.
Other
The value of this work is $-P-t' ,bc)
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
reqUIrements.
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CSjg~~t~;~(; ~fcr~o~pany Officer)
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(Print Name of Officer)
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(Date) .
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5/02