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HomeMy WebLinkAbout0131888-HVAC (furnace)OSHKOSH ON THE WATER Job Address 3395 OREGON ST Value Value Contractor MARK WEBER HEATING & COOLING IN Category 500 -Residential-Heating & Ventilating Plan Fuel / Gas Oil ~ ~ Electric Solar Solid , !, --- System ^ New ~ ^/ Replace ~ ^ Other Chimney Type Heat Loss BTU Rate UselNature of Work Fees: Val Issued By: / Forced Air Radiant ~ Steam A/C ~ Q Vent - l~ Electric Hot Water i Suppl. Con. Burner Chimney A Chimnev B Direct Vent Not Aaalicable I 1 CITY OF OSHKOSH 00 Plan Approval acct No 131888 Permit Fee Paid Date 07/28/2008 ^ Permit Voided Parcel Id # 1413660600 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. HVAC PERMIT -APPLICATION AND RECORD I Owner THOMAS E/CHRISTINE M VOGELIN Create Date 07/28/2008 $31.00 R /REPLACE EXISTING FURNACE, EIV SIGNED BY ELECTRICAL CONSTRUCTIOP City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 o1HKO1H ON THE WATFR HVAC PERMlT 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 (EIS form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) mast be submitted with the permit application. Applications submitted without an E1V when such is required, will not be processed for Permit Issuance and will be retarned for completion. / DATE 7L~7 `8~ JOB ADD--RE~SS ~ ~` t~~ ~ ~l~ OWNER IC>1''~. V ~~~ L1 +'~ CONTRACTOR `"1 f~}/L.~ - '~ /'-~~ CHECK ~ ALL APPLICABLE USE CATEGORY ~ Single Family ^Duplex ^Multi-Family ^Rental i FUEL ^Electric ^Solid ~ SYSTEM ^Oil ^Soiar TYPE ^Commercial ^New ^Other ^ Industrial ,~42eplace Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl ^Con. Burner IS CHIMNEY BEING LINED ^No ^Yes -LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. ~I CHIMNEY TYPE ^Chimney A ^Chimney B f~irect Vent ^Other HEAT LOSS ^As Approved ^Existing ^Not Applicable BTU RATE ^As Per Plan ^Variable ^Other Value I /~ DESCRIPTION /SCOPE OF ALL WORK BEING DONE OS~Z.1`~C~ x'J~~ Z3~ ~d`~J 1ST1~ to ~,nvJ G~_ L~)~-~ r`~ ~ ~ _ __ VALUE (Including labor and materials) $ , ~(~~_ ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) o~~o~ City of Osh;:osh Division of Inspection Services 215 Church Avenue PO Biz I i 30 Oshkosh 14'1 54903-1130 ~ Orice 920.23b-5050 ~~~ - Fay 42Ci-336-50&4 Electric I I (We) (Address) ion Verification •-, .. .. Contractor Name) (City) (State) (Zip Code) have been contracted to perform electric irstallation work for ~kt~~t,(, .-= C~ ~~~ , ~~ (Name of parry contracted ta) at the following address: _ ~ ~~ ~' ~~ /`2 (Address ~vhere work will be performed) The nature of the r~vork consists of: {Ghee i One or Describe the Nature of Work) .~ Reconnection or new circuit for replacement Heating Plant and/or A/C 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 / soffit installation. Note: New Service ' Entrance Cables will require a separate pennit.~ .~~_ Reconnection or ne~~' circuit for the replacement of other permanently wired appliances /fixtures. ?Vetiv circuit for the addition of A,~C to an individual dwelling unit (house or the individual systems in a duplex or condominium), including required service electrical outlets. Other I The value of this work is ~ I hereby veri f'y this work will be perfarmed'by an employee of this company and further verify the reconnection /installation will be done in compliance with manufacturer and Electric code requirements. t (Signature df ~oinpany Officer) (Print Name of Officer) (Date) s~t~z