HomeMy WebLinkAbout0133361-HVAC (furnace)CITY OF OSHKOSH No 133361
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 921 927 OHIO ST Owner EDWARD J SALZSIEDER Create Date 10/08/2008
Contractor MARK WEBER HEATING i;< COOLING IN Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar Solid
System ^ New ^/ Replace ~ ^ Other ~
/ Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimne A Chimne B Direct Vent Not Applicable
Heat Loss As Approved Existin Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature
of Work
Fees:
Issued By:
RENTAL-(927) /REPLACE FURNACE, EIV SIGNED BY ELECTRICAL CONSTRUCTION SERVICES LLC (Greg Davis) **debt acct
i
II
00 Plan Approval $0.00 Permit Fee Paid $31.00
^ Permit Voided
Date 10/08/2008
Parcelld # 1303460000
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
Agent/Owner
Date
Address 1075 ISLAND ESTATE CT OSHKOSH WI 54901 -1341 Telephone Number 235-1523
To schedule inspections please call the Inspection Request line at 238-5128 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 1130
Oshkosh, Wi 54903-1130
Phone (920)236-5050
Fax (920)236-5034
HVAC PERMIT APPLICATION
Ali information after bold categories must be provided.
Incomplete applications will not be processed.
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QN THE 4~lAT~R
• Application(s) and tee(s) can be brought to City Hail, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh W1 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
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** Advisory -For applicable projects, an Electrical Installation Vexifieation (EIV} 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.
JOB ADDRESS
`1~7 Oar v
OWNER -~~ ~~~ ~ ~-~~~~
CONTRACTOR ~~+~ G~~7t~L 1-];-/~-~
CHECK L1 ALL APPLICABLE
U E CATEGORY
~~8ingle Family ~uplex ^ivlulti-Family
FUEL ~as ^Etectric t]Solid
^Oii CaSolar
DATE ~ ~ ' ~ ~ a
Dental C7Commercial
- SYSTEiVI ^New
ClOther
^Industrial
~R€place
TYPE
~l'orced Air ^Radiant QSteam ^A/C ^Vent ^Electric ClHot Water ^Suppl. ^Con. Burner
IS CHIivINEY BEING LINEll,~do ^Yes -LINER SIZE & MANUPACTHRER
Note' Al! chimneys shall be sized per the BTU's being vented.
CHIlf1NEY TYPE OChimney A Chimney B ~2irect Vent ^Other
HEAT LOSS ^As Approved ®Existing ~~l`ot Applicable
BTU RATE DAs Per Plan ~Variabte Other Value _~_._.
DE~RIPTION f SCOPE OF ALL WORK BEING DONE ~G;~-c.._,~ ~~ ~~' ~vr.
VALUE (Including labor and materials) ~ ~~'~d ° ~~
1~LECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
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