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HomeMy WebLinkAbout0132518-HVAC (furnace)OSHKOSH ON THE WATER Job Address 933 W 5TH AVE CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD Owner MARION M THIEL No 132518 Create Date 08/27/2008 Contractor MARK WEBER HEATING & COOLING IN Category 500 -Residential-Heating & Ventilating Plan Fuel / Gas Oil Electric Solar Solid System ^ New ~ ^/ Rep-ace ~ ^ 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 se ature SFR /Replace furnace . EIV signed by Electrical Construction Services. ""debit acct - __ _- -_ of Work Fees: Valuation $1,800.00 Plan Approval $0.00 Permit Fee Paid $37.00 Issued By: ~a~f Date 08/27/2008 ^ Permit Voided ~ Parcel Id # 0604390000 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. City of Oshkosh Division of Inspection Services P.O. Box 1 130 Oshkosh, Wi 54903-I i30 Phone (920} 236-5050 Fax {920}236-084 HVAC PERMIT APPLICATION All information afrer bald categories must be provided. Incomplete applications will not be processed. O.lHKCJ.~H ON TF?F VJAT~R Application(s) and fee(s) can be brought to City Ilan, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh 1~V1 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 ~u are a contractor . artici atinQ In the Permit ee Account S stem and have ode uate unds check here ~u want this processed throuelz vaur accolcnt ** Advisory -For applicable projects, an Electrical Installation Verification (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 for completion. DATE ~~~~•'~~ JOB ADDRESS-_~ ~ ~~ - OWNER ~~~ G~?/ / f~)-~-Z CONTRACTOR Iz1~~'Ir.{ G °~~~.~1 i''7'`-~ CHECK B ALL APPLICABLE USE CATEGORY ~(S_ingle Family ^Duplex DMulti-Family DRental DCommercial ^lndustrial FUEL ~.as DEtectric ^Solid SYSTEiVi ^New ~.Repiace ^Oil ^Salar DOther TYPE ~orced Air ^Radiant ^Steam DA/C ^Vent ^Electric DHot 1~Vater ^Suppl. ^Con. Burner IS CHIMNEY BEING LINED ~to ©Yes -LINER SIZE & zV1ANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIYINEY TYPE DChimney A ^Chimney B 1~2irect Vent ^Other HEAT LOSS ^As Approved DExisting C~Not Applicable BTU RATE DAs Per Plan ^Vaxiable DOther Value / SCOPE OF ALL WORK BEING DONE ~~L ~7`y~l~ait~' a ~ 1~ /5~i7~. VALUE (Including Iabor and matersals) $ ! ~Qb ~ ~~ _____ ELECTRICAL CONTRACTOR (far projects pat requiring an EIV Form) o;i;.; i}:YiStiN!<ii-ii!Si)cilitH4 '>-t:'IC+:i 't1 Ciusicli A,'cnrst Pt) V3:~z i i J4 '~-._- Oshka;ii t'J( ti49J{ t E3f; f ~--~'~ f i-_ t J(fice 4?0-?36-.iti3iF O;d r~~E v:hl FN ~:lect~°~c I>r~s#a~f~l`iaa ~~ril~ica>`~on ,.. _. (Electrical Contractor Name) ,. _( ~ .._ , . •~ ,..,~ -~ ~ ~'tt}'~ {State}~ {.~1~ Cade} {Address} have been contracted to 1?erf«rm electric installation i=.rortr for ~~~?.~ ~~-.-.~ {lv~amv of party contracted ta} at the tailavritig adciress~ __ ~ / ~ _--_,-. ~ __ _ ~~~ {Address 4vherc wcx•k. witl b~ performed} "The nature of the 4,~ork consists c~E {C;1~eck Une or Describo the Nature of'4~tiarl:) _~ IZ~;cannection or ne~~ cia-cuit far replacement Heating 3'lant andtor A/G Condenser. _,-_i _. I~ecanncction or ne:4r ,.ircuit fat' replacement Electric Water Heater or power vented c~~ater Ileate~'. ____ l~eranncction of the `~~;r~fici~ Entrance Gable, Meter Box, alterations to recLptarles and liUhtin~~ :ixiur~~s ciue to siding !soffit installation. Dote: New Service entrance gables s~rill require a separate permit.. ~.__.__ IZF;con(7+wction r~r nt=~~~~ cir~:,r~it fot~ the raplac~n~ent of a~her permanently ~-~Fire~t allplianc4s i fixtures. --_~ Nc~v circuit for thf~. ~~tddition of A,fC to <an individual dwelling ttttit {house ar tl~e iifidividual systet~~ in ~( dul3lex car candominiura), including; required service eleetri~;al a>(tl~ts_ Uther T`he value =~f this ~~°ar1 is `a--~Uf d , d O-- I hereby vcril~~ this ~~rork ~,~ill ljc pc'(-formed ht~ ~~n etnptoyee of this company and lizrther verify the recannecti~3n ! installation wiii Iir. dcs~zc i(z compliance ~~th manufacturer and Electric code Ct;c"1111 t-EaT t ~IIiS. {~if~n~~ture t~I-C;~3tn,7a~z,: (~t~icer) _t ___ _-- (1'rint ~ai~2e at- Officer} _.__ -_ _ ~~a~~a~ (~Eit~~ 5,21;