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