HomeMy WebLinkAbout0130267-HVAC (furnace) CITY OF OSHKOSH No 130267
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 902 WINDWARD CT Owner THEODORE W/CAROL A HOFF Create Date 06/02/2008
Contractor MARK WEBER HEATING & COOLING IN Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar Solid
System ^ New ^/ Replace ~ ^ Other _
/ Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature
of Work
rnace. EIV provided by Electrical Construction Services.
Fees: Valuation $1,250.00 Plan Approval $0.00 Permit Fee Paid $29.50
Issued By: ~~~ Date 06/02/2008
^ Permit Voided
Parcel Id # 1522440000
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 pertormed 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 O~HKO~H
Fax (920) 236-5084
ON THE 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
** 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 ;~~
JOB ADDRESS ~(/ ~ GS/~l'~ ~ I~ ~h r J
OWNER I~~ ~(~~t'
CONTRACTOR ~/9'Y1 ~ .~~~~
CHECK Ef ALL APPLICABLE
USE CATEGORY
Single FamilyFamily
^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
FUEL as ^Electric ^Solid SYSTEM ^New ^Replace
Oil ^Solar ^Other
TYPE
~rced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED~o ^Yes -LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE ^Chimney A ^Chimney B
HEAT LOSS ^As Approved ^Existing
BTU RATE DAs Per Plan ^Variable
,Direct Vent ^Other
^Not Applicable
^Other Value
N /SCOPE OF ALL WORK BEING DONE ~~ _ ~~' g~7~,~i.~
VALUE (Including labor and materials) ~~~~~ ~ ~~
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
o~~o~
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