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HomeMy WebLinkAbout0132760-HVAC (furnace)CITY OF OSHKOSH No 132760 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2410 MINERVA ST Owner ROBERT W SALVINSKI Create Date 09/09/2008 Contractor MARK WEBER HEATING & COOLING IN Category 500 -Residential-Heating & Ventilating Pian Fuel / Gas Oil Electric Solar Solid System ^ New ~ ^/ Replace ~ ^ Other / Forced Air Radiant Steam A/C Vent Electric Hot Water Suppl. Con. Bumer 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 FR / Replace.fumace, EIV signed-by Electrical Construction Services.. *"debit acct .::' - „: ~:~ Fees: Valuation $1,600.00 Plan Approval $0.00 Permit Fee Paid $34.00 Issued By: L i~;Y2~v Date 09/09/2008 ^ Permit Voided Parcel Id # 1229460000 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 AgenUOwner 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. City° ofQshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, W 54903-1130 Phone (920)236-5050 I~ax ~92a) 23b-SOS4 HVAC PERMIT APPLICATI©N All information after bold categories must be provided. Incomplete applications will not be processed. C).IHKOlH ON THE WATFR Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 112s, Oshkosh Wl 54903-1 12s. Commencing work without permit(s) wilt result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR ar WL m ** Advisory -For applicable projects, an Electrical Installation VeriFication (ETV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an ETV when such is required, will not be processed for Permit Issuance and will be returned for completion. DATE ~~~ JOB ADDRESS~2~ _~ ~ ~Z ~~ OWNER ~~ `.~~f x1 ~ ~ 1 CONTRACTOR /s'/~~ a~,~-~~~'YL ~'~ CHECK H ALL APPLICABLF. USE CATEGORY Ingle Family Duplex ^Multi-Family ^Rental C1Commercial ClIndustrial FUEL ~as ^Etectric ^Soiid SYSTEM ^New ~eptace ^Oil ^Solar 70ther TY,1'E ced Air Radiant ^Steam ^A/C ^Vent OElectric [7Hot Water ^Suppi. C7Con. Burner IS CHIMNEY BEING LINEll~lZ3ho ^Yes - LNER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE C7Chimney A I~Chimney B ~fpirect Vent CJOther HEAT LOSS ^As Approved ^Existing ^lv'ot Applicable BTU RATE ^As Per Plan ^Variable ^Other Value _ DESCRIPTION 1 SCOPE OF ALL WORK BEING DONE1~~i~G-~t% SIC' - VALUE (Including labor and materials} `~ __ ~(~ d~ . ['~~ ELECTRICAL CONTRACTOR (for projects not requiring an ETV Form) o~,_- ~i:~s;~fC95takcuh (?Iri?l'af+. Ut }iiS(=ilk?tt4 Sen'.e~:5 ~1J ~_}7JSL'}t t~ti tit:pn PCJ }gas ? 134 `~-- _ t)>hSif~sif \:'1 5~9i7.3-! ! 3+; O:E }f1? ~: J.tER }'.l1 )~}I-S SL -){}$.{ Elec~z°ic ~ns>`a~~atiol~ V~r~~~ca~ic~n ( r.. ~ , .- - u G'} ~~ ,, ~ L-.,,;'~ fir, ~`.~...._`.~:._1:_= i `. z~~s~ ~ : :: ~` ---___-.- (F..lecttical Contractor }Name) -) ._ :_ -- (Acid{css} (t~'ity) (~tatc) (Z,ip Code} have #~een contracted to perform c;lecttic installation ~~~ork #or ~~ ~z~~-c __ ~~, (Ivan3c of party contracstecl to} at the following acldr~ss: _ ~Y ~(~' __ f'7llt'~7t r1 /`_} ___._._._.._._._____ ___ (address tvltcre Yvc)rk will be perfl~nric:d} "l he nature caf thc; work cc?rzsists cif: {i~lte~•I; ()ne or Describe the I~lature est.' ;~Uc~ri;} __~ kecar>nectiorz c)r ners,~ circuit for replacement Heating, Plant andlor fiJC Condenser. _..__.__ Itecourzecti~n c)r ne.~~ circuit for replacement Electric Water Heater or power vetttetl water heater. R.econnectioti of tl~tu ~;ervic;t; Entrance Cable, Meter Bax, alterations to receptacles ~~ ~ and li~.~hting :ixiz~res clue to siding / soffit installation. Note: ~1ew service Entrance Cables ~~s~i11 require a separate per-tiiit..~ __-..___ f{~c4~t~t~rction nr rtf~~t eir~ztit for the replacoment ~~fo~her pernianently ~cired al7pliaztc<<s ! fixtures. . _..__ Nc~~~ circuit for thz aclditiot3 of t~.!C to individual dwelling unit (pause or the individual systLrz~s in a duple;: rrr condomirtiutn), inclzzdinl; rec}tzired servicz: electrical ozztlcts. C)tltc:r "I'l~e. value c)i this ~~~c~z-k is ~; ~~ a' ~~ 1 hereby v:~rif'this wr)rk ~~.~ili tze pti.riortltcrl ~~~:= au employee of this company and lizrthez` verify the reconnection ;` installatiat~ w~~ill be. none in cotrt131iance with manufacturer and Electric code re~u~ren~~cnts. {~t«I~31t;r cal C;t~tz~t7atty (~l(iz.~;z j _~ _ __ ~__.. _ ~: ----_ t l?t i ~~t -itia tt~e- of C)lficet-} ~_____ ~~~~~ ~_...~~T~ate)....~'_..M__. sx,<