HomeMy WebLinkAbout0128208-HVAC (furnace)
o
OSHKOSH
ON THE WATER
Job Address 1945 GROVE ST
CITY OF OSHKOSH
No
128208
HVAC PERMIT -APPLICATION AND RECORD
Owner CHARLES AlMARIL YN J PERRY
Create Date 12/19/2007
Contractor MARK WEBER HEATING & COOLING IN
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type ~) Chimney A . Chimney B
Heat Loss K:) As Approved () Existing
BTU Rate K:) As Per Plan () Variable
Category 510 -Ind. & Comm-Heating & Ventilating Plan
j Electric
~ Replace
U Steam
U Suppl.
() Direct Vent
U Solar U Solid
D Other
U AlC U Vent
U Con. Burner
o Not Applicable
. Not Applicable I Value
. Other _ Value
UselNature COMM - MULTI-FAMILY (Unit #3) 1 REPLACE EXISTING FURNACE, EIV SIGNED BY ELECTRICAL CONSTRUCTION SERVICES LLC
of Work (Greg Davis) ""debt acct
Fees: Valuation $1,600.00
Issued By: (:)YY\.a.
Plan Approval
$0.00
Permit Fee Paid
$34.00
Date 12/19/2007
D Permit Voided I
Parcelld # 1514819706
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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
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 ar $100.00 plus the
normal permit fee, which ever is greater.
OR
If vou are a contractor particioatinz in the Permit fee Account Svstem and have adequate funds. check here
if vou want this orocessed through vour account )Jf' '
** Advisory - For applicable projects, an Electrical msta1lation 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 ~ithout an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
'q~5
/ J
JOB ADDRESS" ~ G/L~~ lin/I #3
OWNERf~~u~.~
CONTRACTOR ~i?-?!J( w~7?9z J-J-rz.
DATE /;:?/17/o'7
CHECK 0 ALL APPLICABLE
USE CATEGORY
o Single Family DDuplex $1ulti-Family
o Rental
~
o Commercial
o Industrial
FUEL
t1&s
DOil
DElectric DSalid
DSolar
SYSTEM
DNew
o Other
rstReplace
TYPE
~ed Air DRadiant DSteam DAIC DVent DElectric DHot Water DSuppl. DCan. Burner
IS CHIMNEY BEING LINED DNa DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
mChimney B
/DExisting
DVariable
DDirect Vent o Other
DNat Applicable
DOther Value
RIPTION I SCOPE OF ALL WORK BEING DONE A~#~ ~ ~,Jt'T7IJ/~
VALUE (Including labor and materials) $
/~bd).l~30
. ,
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07
City of Oshkosh
Division of 11lspeClion Services
215 Church .Avenue
PO Box lUG
OshJms!l WI 54903-1130
Office 920.236-5050
Fax 92Q-236-5084
Electric Installation Verification
I (We)
\. '\ r-t~\"\~ ~~~
(Electrical Contractor Name)
\L '-.::::' \_~:\
(Address)
"'t
f5'-i':j D?
(Zip Code)
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(' . }::1 ',,\ \r... c"~"-r~;~ ~\
(City)
~~ _.\
\~r.:,,";~)~/_"
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(State)
have been contracted to perform electric installation \vork for n;hfp( -z..,Je~-:; .'~ ,
jQ'f5 (Name of party contracted to)
at the following address: ~ GFt6Ue- [)n/-!#3
(Address where work wiU be performed)
The nature of the work consists of: (Check One or Describe the Nature of\Vork)
A Reconnection or new circuit for replacement Heating Plant and/or Ale 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 receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will require a separate pennit.'
Reconnection or new circuit for the replacement of other pennanently wired
appliances / fixtures.
New circuit for the addition of NC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), induding required service
electrical outlets.
Other
The value ofthl$ work is $ ~; r}J. /' .?J6>, 00
I hereby verify this work will be performed by an employee ofthi5 company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
reqUirements.
(Signattirt;; q{(~ompany Officer)
'..'-<-.1
(Print Name of Officer)
/:{/; 7107
(Date)
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