HomeMy WebLinkAbout0132758-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address 333 E PARKWAY AVE
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner RICHARD G/MARCIA L MARKS
No 132758
Create Date 09/09/2008
Contractor MARK WEBER HEATING & COOLING IN Category 500 -Residential-Heating 8 Ventilating Plan
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 FR /Replace furnace. EIV signed by Electrical Construction Services. "*debit acct
of Work
Fees: Valuation $1,800.00 Plan Approval $0.00
Issued By:
Permit Fee Paid $37.00
Date 09/09/2008
^ Permit Voided Parcel Id # 0403470100
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1075 ISLAND ESTATE CT OSHKOSH WI 54901 -1341 Telephone Number 235-1523
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Cite of Oshkosh
Division of Inspection Services
P.t?. Box 1130
Oshkosh, titi' 54403-1130
Phone (920} 236-5050
Fax (920)236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
010KO~H
QN T~F ~NATFR
• App}ication(s) and feels} can be brought to City Hall, Roam 205 or mailed to Itspection Services, PO Box 1128,
Oshkosh WI 54903-112$. Commencing work without permit(s) will result in fees being doubled yr $100.00 plus the
normal permit fee, which ever is greater,
OR
IT you area e
if ur~u wont ti
ctpatin~ in the Per
z'
** 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) 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 r Q
JOB ADDRESS_~,~ ~ _~ ~' ~y~l ~l _1L4.~,A
OWNER ~C.-~ /vll1~-2 ~5 ~ ~"-~ t-
CONTRACTOR /'?~2~ L,~~-, ~ f-~~ A
CHECK C~J ALI, APPLICABLE
USE CATEGORY
(Single Family ^Duplex ^ivlulti-Family ORental ^Cammercial C7Industrial
FUEL ~as ^Electric ^Solid SYSTEM ^New ,replace
^Oil ^Solar OOther
TYPE `
arced Air C3Radiant ^Steam CIAJC ^Vent OElectric OHot Water ^Suppl. ^Con. Burner
lS CHIMNEY BEING LINED ~o ^Yes -LINER SIZE & vIANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A CaChimney B f~Direct Vent ClOther
HEAT LOSS ^As Approved ^Existing ^Not Applicable
BTU RATE ^As Per P{an ^Variabte C70ther Value
DESC PTION !SCOPE OF ALL WORK BEING DONE ~~~~~~ ~~} t g~r~~
VALUE (Including labor and materials) ~ ~ ~ ~ . Q ~!
ELECTRICAL CONTRACTOR ([or projects not requiring an EIV Form)
c~~ ; r
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Po B:>z 1 334
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Elect~•ic 1nst~~[~t~an ij~r~~ca~~on
{Electzical C:onfractor Name)
__ _ ~- .
{Address) (City) (Mate) (Zip Code)
have been contracted to l?erfarm electric insfalla€ion ~~~ork for ~~_~~~~'?~ /~~ ,
(Name o f p~~z~ty contracted to j
of the foltolx~in~; address- _ ~~ ~____'~ __~>t~-rl ~~`~ ..____.~-~._~ ---
(Address tiwhErz: work. will be performed}
"I'tze nature of the work consists oF. {Check one or Describe the Nature of.'~ork}
?~ 1Zeconnecfion c>r zze~v circuit for replacement }'-leafing Plant andlor AIC Condenser.
Iteco~zrzcction or ne;~~ circuit for replacement Electric Water l-leater• or power vented
writer beater.
_-__- Recotzncction of the ~Lrvice; Entrance Cable, Meter Box, alterations to receptacles
rind lighting; ixturf~s due fo siding l sofEt installation. Note; Now Service
Entrznce C:able;, ~~=ilf refit:ire a separate penzzit.~
_--.-_ IZeconzzR;;cfiorz or rzt~~.~ circuit for the replacement of o~lzer permanently wired
Er~)pl~aru.(:ti ! l~xzure:s.
;Vew circuit ii7r th :zddition or f~fC", to arr i~zdividual dwelling ur:rt (house or the
individual syster~~:. iR3 ~r dul)lez or condomirzizzrn}, including required service
~lGCtriCai (ltrtlets_ -
Other
"T'be v°ah2e <)~~ this t~Fork- is `~ add ~ da
I hcrcbv vc[-iI`y this wc)rk .~~s1I I)c ~~ez-i~csrtiic;ct by an employee of this compazay and litrlher veri>i~
the rcconnectio3z !installation 4vill be done irz corzzpliance ~vitlz manufacturer arzd Electric c:ocle
rec~u~r~:rtzi/nts.
(5M4z1att~r:~ <Rl C~ozn,rizz~~~ t ~fCcr=r
(.Print i~arz~eofC)ffcer
(Date)
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