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HomeMy WebLinkAbout2008-HVAC (furnace)/~ CITY OF OSHKOSH No 132757 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1120 MALLARD AVE Owner DORIS L CHARTRAND LIFE ESTATE Create Date 09/09/2008 Contractor MARK WEBER HEATING & COOLING IN Category 500 -Residential-Heating & Ventilating Plan Fuet / 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 Appligble Value BTU Rate As Per Plan Variable Other Value Use/Nature FR /Replace furnace. EIV signed. by Electrical Construction Services. **debit acct of Work Fees: Valuation Issued By: Plan Approval $0.00 ^ Permit Voided Permit Fee Paid $32.50 Date 09/09/2008 Parcel Id # 1522780000 In the performance of this work, I agree to perform all work pursuant to rules governing the described censtruction. 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 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. WI 54901 -1341 Telephone Number 235-1523 Citti~ of Oshkosh Division of Inspection Services P.Q. Box t tad Oshkosh, ~; 5~9d3-} 13d Phone (920)236-5050 Fax (,920)236-508 HVAC PERMIT APPLICATION Ali information after bold categories must be provided. Incomplete applications will not he processed. CJ1H~H ON THE ~NATFR • Application(s) and fee(s) r;an be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-I 128. Commencing work without permits} will result in fees being doubled or $100.00 pies the normal permit fee, which ever is greater. • oR 1 ou are a contractor artici atin in the Permit e Account S stem and haue adeq~rate fiends check here i you want this rocessecf throe h your account ** Advisory -For applicable projects, an Electrical Installation Verification (ETV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner} must be submitted with the permit application. Applications submitted without an ETV when such is required, will not be processed for Permit Issuance and will be returned for completion, JOB ADDRESS ~~ /a'1 /~Ltl9v2. ~ OWNER__ ~d11 /5 (}~TYLtt'ru+~ cONTRACTOR /'''4 /fin ~' ~,~ r-~ CHECK C~1 ALL APPLICABLE USE CATEGORY E$rSingle Family ^Duplex ^~vlulti-Family ^Rental FUEL Gas ^Electric ClSolid SYSTEM ^Oi! ^Solar TYPE ` Forced Air ORadiant ^Stearn DAIC ^Vent DElectric DATE/ > ~b~ ^Commercial C7Industrial I7New Replace ^Other OHot Water ^Suppl. ^Con. Burner IS CHIMNEY BEING LINED j~Io ^Yes - LIi~tER SIZE & NIANUFACTU~RER Note: All chimneys shall be sized per the BTU's being vented. CHIiVINEY TYPE DChimney A Chimney B ^Direct Vent ^Other HEAT LOSS ^As Approved ^Existing ^N`ot Applicable BTU RATE ^As Per Plan DVariable DOther Value DESCRIPTION 1 SCOPE OF ALL i•E'ORK BEI~°G DONE p'j.Z~~>~C-~~^ ~' ~~' ~ N - VALUE (Including tabRr and materials) $ ~ ~~ ~ .~" - ~~, ELECTRICAL CONTRACTOR (for projects not requiring an EIV Roan} l.. t:V iSf (}~tu.~0a~3 ~)p~~i31J1!:/~{i14}rtt'Ili15} `~_l}~;fi$ PC? F.3~x Silt? ~`- - t3zh~~~sit1?'1 `~a9(3?-1?~i; ~ jy ~ t ~ i ~~~ ~ Ottke '.~?0-23G-iiiit3 J .-- G?'-i ti~i ~•: AIiR fax 4`ii-3"sG-it3SJ ~;Iecti°~c t>~sta~~atio>~ ~er~~~cat~c~~s { T I M) ~_ y.. ` ' ~ ~ ~ ~ ibis yy~. _ l \ 1 i 1~. " ~ 1 S 1 - ` ~ _.bx. ~~ "'! (llect~-ical Contractor Nanxe) s. -- {Address) ~~ (City) ____ (,Mate) (Zip Code) have been contracted to pcrforn~ ele:ettic installation ~k~ork for ~l/'A~1~ ~~~-~' ~`'~?~, (Name of part)' cazitr~zcted to) at the follovrin~ adclross: ~f ~ ~ ~ ~L L~3~1.!~ ~ •^ _ (Address ~vliere work wtill be l~erfoz--ned) 1'he nature of thr; work consists t~f; (Check One or Describe the Nature of ~~vorl} __~, I{econncction c>r ne~u circuii fc~r replacement 1-Tenting Plant and/or Ali` C.ondensor. T __ Recot~rzection or ne:a ci~-cuiz for replacement Electric Water Heater or power vetrted water l~eatez•. ____,____. IZeconncctio~~ of tl~e titrvice Entrance Cablc, Meter Box, alterations to rccepiac;ies and lighting; Fixtures due to siding f soffit installation. Note: i~Tew Service I:zitrance t=ables ~ti°ill require a separate permit.:. ILeconz7ection tar ne~.~ circuit for the replacement of o~~~er pern~anently wired a{~pliances i lixture~. . ~__ t\~c,w circuit for thy; 4tdc~iition of AIC to an indivic;ruczl ~>vellirtd zftiit {house or the i1~<lvidus~l s~~st~rns ire a d~Eplcx or condominium), inelur~ing required service eiE:ctrical ouilrts_ t}ther "flee <<alu~ of this «-t~rk is ~.--__-~d~~ I Hereby vcri fy t}iis ~srorl: ~~'itI ils: perfc~~~[ncd bF zuI employee of this compall_y and f01-ther VE;I"tt;: the recanncctu7~~ /installation ~~~ill be. done in compliance with manufacturer and Electric co~~e reczuircr~>c.~~ts. rf^ (~i~~nattirc ~if`Catn,7~zzz ~~ (.lzzictr} (1?t-irzt Nan~c of Officer l~ ©~ (Date) sru.