HomeMy WebLinkAbout0132840-HVAC (furnace) CITY OF OSHKOSH No ~3z8ao
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 1675 1677 OREGON ST Owner MR/MRS EDWARD J SALZSIEDER Create Date 09/12/2008
Contractor MARK WEBER HEATING & COOLING IN Category 510 -Ind. &Comm-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar Solid _____j
System ^ New ~ ^/ Replace ~ ^ Other
/ Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimne B Direct Vent Not Applicable ~
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value
UselNature OMM (1677) /REPLACE FURNACE, EIV SIGNED BY ELECTRICAL CONSTRUCTION SERVICES LLC (Greg Davis) ""debt acct
of Work
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $40.00
Issued By: ~~O- Date 09!12/2008
^ Permit Voided
Parcel Id # 0907950000
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 1130
Oshkosh, WI 54903-1130
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.
~.IHKD H
ON THE WATFR
~,. ~.
~ Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 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 ,
** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) mast be submitted
with the permit application. Applications submitted without an E1V when such is required, will not be
processed for Permit Issuance and will be returned for completion. ~/
DATE 12 ~ l~
JOB ADDRESS ~, // ~~~-~~ I~~~
OWNER ~~Q ~ ~ ~/~~
CONTRACTOR_~i~J ~ ~ ~>~
CHECK ~ ALL APPLICABLE
USE CATEGORY
^Single Family ^Duplex ^Multi-Family
FUEL Gas ^Electric ^Solid
^Oil ^Solar
^Rental Commercial
SYSTEM ^New
^Other
^Industrial
Replace
TYPE
~orced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINEll~o ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B
HEAT LOSS DAs Approved ^Existing
BTU RATE ^As Per Plan ^Variable
,,+~Direct Vent ^Other
^Not Applicable
^Other Value
DESCRIPTION /SCOPE O)~LL WORK BEING DONE ~''?~/ ~ ~ ~3 ~ S'~~-
VALUE (Including labor and materials) $ li[ ~ ~ . C~C~
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
o~/o~
o
pixy of Oshkosh
Di+•isian of fnspccttion Seteite;
21~ i.:hurch Avctiue
PO Bax U JO
O;hkash t~'1 S49U3-f 13C
iJ (1ut 9201-Z36-5050
Fax 4201-23G-SflS4
Electric Installation Verification
I (We)
•_.. 3
(Electrical Contractor Name)
~ ~~ ~ i ~.. ~, f t' f . r•_, _A ,. i{... - \ ~' _.. ~ _) } i sr i~
(Address} ~ ' -
(City) (State) (Z.zp Code)
have been contracted to perform electric installation work for ~~`~~ ttf~~
(Name of party contracted to)
at the fotlawing address: ~ _~~ ~~ ~~
(Address where work will be performed)
The nature of the work consists af: (Check Qne or ;Describe the Nature of Work}
Rec;onnectian or new circuit for replacement_Heating Plant and/or AIC` Condenser.
Recotulection or new circuit far replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable,lVleter Box, alterations to receptacles
and Lighting fixtures due #o siding t soffit installation. Note: New Service
Entrance Cables sviil require a separate permit.'
-_`_-. Reconnection or nets circuit for the replacement of other permanently wired
appliances t fixtures.
~~ Netiv circuit for the addition of A,~C to an individual dwelling unit (house or the
u3dividual systez~~s in a duplex or condominium), including required service
electrical outlets.
__~__ C)tlzer
The value rjf this work is ~__~~D .pU
I hereby verify this l}fork ;~~ill be Izerforrzzed by an employee of this company and further verify
the reconnection /installation u,-ill be done in compliance with manufacturer and Electric code
rec~t u i renzents.
i~
_ __ _ ~ ~.~~- ~ a tip..: a ~-,'~: ~~ `` O
(S~`,nattzre cif C;orzzl3any Cfficeri~~ - _~ tYnnt Name of Ofhcer) -~_
(Dale)
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