HomeMy WebLinkAbout0133360-HVAC (furnace)/I~"~ CITY OF OSHKOSH No 133360
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1032 JEFFERSON ST Owner MR/MRS ROBERT J MITCHELL Create Date 10/08/2008
Contractor MARK WEBER HEATING ~ COOLING IN Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar Solid
System ^ New ( ^/ Replace ~ ^ Other 'I
/ Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimne 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
/REPLACE FURNAC
RVICES (Greg Davis) **debt acct
Fees: Valuation $1,800.00 Plan Approval $0.00 Permit Fee Paid $37.00
Issued By: Date 10/08/2008
^ Permit Voided
Parcelld # 1001780000
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.Q. Box t 130
Oshkosh, W~ 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.
01 HK~.f H
ari rxF w.grFQ
~ Application(s) and fee(s) can be brought to City Hali, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh Wl 5}903-1128. Commencing work without permits} will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
** Advisory -For applicable projects, an Electrical Installation Verification (EIS form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be sabinitted
with the permit application. Applications submitted without an EN when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE~~ ~ - O _,__
JOB ADDRESS ~'L~~ ~ r~f"'~-~''" ~'~'ISCJ ~nJ
.,~-P--
CHECK !~ ALL APPLICABLE
USE CATEGORY
mingle Family ^~DupleY D~lulti-Family ~ental
FUEL Gas DE(ectric DSolid ~ SYSTEiYI
^Oil DSoiar
DCotntnercial
^New
DOther
^ Industrial
Mace
TYPE
~1Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric DHot Water DSuppl. ^Con. Burner
IS CHIMNEY BEING LINEll N~o ^Yes - LIwER SIZE _ & MA?~~FACTL.IRER
Note: Ail chimneys shall be sized per the~BTU's being vented.
CHI1.1i~iF,Y TYPE ^Chimney A ^Chitnney B ~irect Vent ^Other
HEAT LOSS DAs Approved DExisting DNot Applicable
BTU RATE ^As Per Plan ^Variable ^Other Value __ ___ -.-
DES RIPTION /SCOPE OF ALL WORK BEING DOME s--- i~L
VALUE (Including labor and materials) ~ / -Q (J d
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
,, ,
~ ~' ~sr __. ~ ,,.
~, .. - _.
{ ~ ~ - __
I.:7 7., t!?i.r ~ C ~s~t 7 x'L,.s S ..._. r
•. _ _.
..4. stf1C ~ }' .,, ia~
'. `--'
f.icir.. .~ .,~.. t)E~$kFr_s Li x 1;. ~ _ :.. .._.. "~"?r~
~~,. ... rif F ~f 7.y., :~~ f .,i: 1,~;
,~ ._ _,
ilt:' a t:!2C; t' .SikS ~ - _~; ._ ~(.~~~' C..!. ~ .
~ Zl1{~ ~ tki ; i v,~~4 .~_l.f t~ E(L'• ! ..! ~ t i~:
i ~. _ _: ... ... ._ _.. o _ _.
IL 1. _~ 1l. ~tt~.• i}..f 1:7.'s (.: ,.. .._„ ~
l~''S~ ~~
7
.:
~~lf~fle.:~..ii #~ ~ It}1,73i I4„ ~Ii ltl It
t`.