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Home My WebLink About0131887-HVAC (furnace)CITY OF OSHKOSH OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 536 W 1 OTH AVE ~ Owner CLARA STADLER REV TRUST Other Contractor MARK WEBER HEATING & COOLING IN ; Category 500 -Residential-Heating & Ventilating Plan Fuel / Gas Oil i Electric Solar Solid System ^ New j ~ Replace j ^ Other j / Forced Air Radiant Steam A/C Vent ~ Electric Hot Water ~ Suppl. Con. Burner Chimney Type Chimney A Chimney B i Direct Vent Not Applicable ~ Heat Loss As Approved Existing ; Not Applicable - ; Value BTU Rate K) As Per Plan OVariable UselNature of Work No 131887 Create Date 07/28/2008 Value ERVICES (Greg Davis) **debt acct Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $40.00 1 Issued By: Date 07/28/2008 ^ Permit Voided Parcel Id # 1300140000 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 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. I City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 o1HKOfH 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 retarned for completion. DATE O JOB W ~ CONTRACTOR~~ N~ t'f 7~~ CHECK H ALL APPLICABLE USE CATEGORY ~ingle Family ^Duplex ^Mult-Family ^Rental ^Commercial ^Industrial FUEL ~6~as ^Electric ^Solicl SYSTEM ^New ~eplace OOiI DSolar ^Other TYPE Forced Air DRadiant ^Steam DA/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner IS CHIMNEY BEING LINED~Io ^Yes -LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's~being vented. CHIMNEY TYPE DChimney A DChimney B .Direct Vent ^Other HEAT LOSS OAs Approved OExisting ^Not Applicable BTU RATE ^As Per Plan ^Variable ^Other Value DESCRIPTION /SCOPE OF ALL WORK BEING DONE-~i~--~ ~ O~ TZ VALUE (Including labor and materials) ELECTRICAL COhITRACTOR (for projects not requiring an EIV Form) o~io~ Ci)yrtOsh::osh Di. iron of Inspection Scroicas 215 Clturrh avenue PO B3x ! 130 Oshkosh ~:`( 54903-I 130 ~ "~- taji ~}--~~ O(fue 920.235-1050 pN 4if VtA7fR Fax 92;i-336-SOS4 Electric installation Verification ~. -. t i v n i , - f... - Et (Electrical Contractor Name} (Address) have been contracted to perforn~ at the following address: - ~. _, . - .r... {City) (State} (Zip Code) is installation vrork f'or ,j'Ze~( ~,~ o ~'F,~ , {Name of party contracted to) (Address where work. will be performed) The nature of the work consists of {Check One or Describe the Nature of Work) ~ Reconnection or new circuif far replacement Heating Plant andlor A/C Condenser. _~ Reconrtectian or new circuit for replacement Electric Water Heater or power vented water heater. Reconnection. ofthe Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding ; soffit installation. Note: New Service ' Entrance Cables ~~°ill require a separate permit. ~' -_~ Reconnection or ne~~~ circuit far the replacement of other pernianently wired appliances /fixtures. New circuit far the ad~ditian of A,~C to an individual dwelling unit (house or the individual systems in a duplex oi- condominium), including required service electrical outlets. C}ther The value of this ~~=ork is ~ ~00, Btu I hereby veri f'y this work wilt be performed by an employee of this company and further verify the reconnection f installation will i e done in compliance with manufacturer and Electric code requirements. {: ~,:~ _.t r-~ (Signature df C pony Officer) ,•~ ..~ Y ~ ... _ (print Name of Officer) ~ 1~7 ~o~ (Date) 51U2