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HomeMy WebLinkAbout0132167-HVAC (furnace)OSHKOSH ON THE WATER Job Address 1303 GRAND ST CITY OF OSHKOSH HVAC PERMIT-APPLICATION AND RECORD Owner CAROL A PERALTA No 132167 Create Date 08/11/2008 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 / Replace furnace. EIV signed by acct. Fees: Valuation $1,600.00 Plan Approval Issued By: ^ Permit Voided Date 08!11/2008 Parcel Id # 1506360000 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. $0.00 Permit Fee Paid $34.00 City of Oshkosh Division of inspection Services P.Q. Box 1130 Qshkosh, WI 54903-1130 Phone (920)236-5050 T`ax (92U) 23b-5084 HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. C)1NK1H C1 i}! THE LYATFR • Application(s) and fee{s) can be brought to City- Hall; Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI S~I903-1128. Commencing work without permit(s) will result in l=ees being doubled or $100.00 plus the normal permit fee, which ever is greater. 4 OR __ _____ ._ .,__ n~.....:.~t',,,, .t,...,,,,..r C.ratnm nnrl hnvv ndanitrttn funds. c{aeck here ** Advisory -For applicable projects, an Electrical Installation Verif cation (EN) 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 fur completion. ~} DATE 7~ `-l ~'" ~~ JOB ADDRESS OWNER ~~' CONTRACTOR ~`1~i 9 ,/ ~ ~~ CHECK Q ALL APPLICABLE USE CATEGORY ngle Family C7Duplex C1Multi-Family FUEL j~as ^Electric ^Solid ^Oil ^Solar TYPE ~I-orced Air ^Radiant ^Steam ^AIC DV ^Rental ^Commercial ^Industrial SYSTEM ^New eptace Other ^Electric ^Hot Water ^Suppl. ^Con. Burner IS CHIMNEY BEING LINED OYes -LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented~_ l CHIMNEY TYPE ^Chimney A C]Chimney; B irect Vent ^Other HEAT LOSS ^As Approved Existing', 1]Not Applicable BTU RATE DAs Per Plan ^Variable ~ ^Other Value DESCRIPTION /SCOPE OF ALL WORK BEING DONE_,~~ -~ ~~- ~ ~/~.. X~ f ~ DC~ , OCR VALUE (Including labor and materials) $ ELECTRICAL CONTRACTOR (for protects not requiring an EIV Form) a71o? Ciiy of Osh::osh Oivsswn of Inspenion Sen ices 2)5 Church Avenue PO Aax I i 30 Oshkosh PJ( 54903-ii30 HN Offue 920-235-1050 ~o„,,,-f W,,,~^-= Fax 92fi-23G-SOS•4 Electric ~nstaiiation Verification 1(We) ~~ (Electrical Contractor Name) (Address) ~ (City) (State) (Zip Cade) have been contracted to perform electric installation work for (Name of party contracted to} at the following address: ~. ~~~ ~~~~/ S Pr~ (Address where work will be performed) The nature of the tivork consists of: (Check'', One or Describe the Nature of Work) i 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 permit.' Reconnection or new circuit for the replacement of other permanently wired appliances /fixtures. New 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 The value of this work is ~~~©~ I hereby verify this work wilt be performed by an employee of this company and further verify the reconnection /installation will be done in compliance with manufacturer and Electric code requirements. r_ - -' ~~ ,_ ~ ~~ -' ~ (Signature clf Company Officer} ',{Print Name of Officer} (Date} sroz