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HomeMy WebLinkAbout2008-HVAC (furnace) CITY OF OSHKOSH No 133363 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 913 W 4TH AVE Owner JAMES R/LORI S OPPERMAN 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 -- / Forced Air Radiant Steam ~C ~ - ~ Vent - Electric ~ Hot Water Suppl. Con. Burner Chimney Type Chimne A Chimney B Direct Vent Not Applicable _~ Heat Loss As Approved Existin Not Applicable Value _ BTU Rate As Per Plan Variable Other Value UselNature FR /REPLACE FURNACE, EIV SIGNED BY ELECTRICAL CONSTRUCTION SERVICES LLC (Greg Davis) "debt acct ~ of Work I Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid Issued By: ~~~ ~--, ^ Permit Voided $25.00 Date 10/08/2008 Parcel Id # 0603640000 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. Citv of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, W; 5490;-1130 Fhone(920)236-5050 lax (420) 236-5084 HVAC PERMIT APPLICATION AEI information after bold categories must be provided. Incomplete applications will not be processed. ~.lHKO.IN QN T:-F ~NA7~R • Applications} and feels} can be brought to City Hall; 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 $100.00 plus the normal permit fee, WhIC}I ever is greater. OR If you care a contractor ~articr~ating ita the Permit ~'ez Account System anti have adequate ,rands. check he~e_ iJ~ yoaa leant this process~etl throu.~ft ti~our accounf (~ ** Advisory -For applicable projects, an F,lectrical installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) mast be submitted with the permit application, Applications submitted without an EiV when such is required, will not be processed for Permit issuance and will be returned far completion, JQB AnDRE55 / ~ ~ W ~~ CCINTRACT(JR ,~~~~yl ~~~ ~~ CHECK 8 ALL APPLICABLE USE CA"TEGORY single Family ^Duplex L7~Ittlti-Family FUEL ~ras ^Electric ^Solid ^Oil ClSolar DATE / ~ ~~ ~r ^Rental OComrnercial SYSTEM QNew ^Uther ^Industrial eplace TYPE iced Air QRadiant C3Staam t~A!C ClVent QElectric C1Hot Water ^Suppl IS CHIMNEY BEING LI\ED QNo ^Yes - LI:'siER SIZE c~ ~~1ANLI'AC:;TURER Note: All chimneys shall be sized per the BTli`s being vented. CHI~~NEY TYPE HEAT L(}SS I3TU RATE ^Chimney A ~JChimney B ^As Approved ^Existing ^As Per Pian Ql~'ariable C10ther C1Con. Bttrner Ott' 1 SCOPE OF ALL ~Vt)RK BEiw`G Dt3'vE~~L .L9E'`~__.~~_~_ -~_l , ~)' ~~ VALUE (lneluding labor anti materials} S l W ~ ~ ~~ ~$blirect '4'ent C7Not Applicable ^Other Value ELECTRICAL CONTRACTOR (for projects not requiring nn EIV Form) 37ic t er,t ~}~ is f ' its;, ~ '.: te> ;~ 1 Et n 3 3 ~: `~~, UsiS;~riii:i ?44iPs-t!w -} ~ ~4~{ ~f t~ _i ilEs~»e '3?iJ-3 ~Sr-.i~~~. F3 ~~Iect~°~c' ~n~ta~~~tia~ '~~r~~~a~~c~~ t ~ YY e} ~~ ~' (. ~ ,: 4 ~~.cY ~:...... S .:>.:'G 4 '~. jam.. ~`h ~.. i` ~.~+. a .._ I .._. ~..-_~~.w.._....._....~ ~~_... {Iawtrical C;c~ntrac,tor- N=rn7e) w ~ --- - . . {~leldress) {City} (~;tatc.) (Zrp (_`ode? have beers contracted try 1-,erfi~rx~r Ll~ctric instal.lati;sn ~~ic~rt~ for ~v; . _GL~7~'7'(_.____-~`f'r~-- (~anre cyf party ccrr~t~rete~ri tcr} at the follov~irr~ adclrrss: _~ ,. ~~G~~ {~-~.ddr~a~ wlrer~, ~ic,~~i; v~ii!I tie. i~erfc~r~~z~ed) "I`Itcs nature ~~f the e.~orlc E.crri3ists cif: {("'he~.k Urge er Ucscrit~e the Natur~ rat' ~~'orf:) ~- I~ecoar~eetion or nevi circuit t~r~ reptacernent Heating 1'tarrt dnd/cir:~1C C:onrlenser. .....___. _- I~.cctsnr~ection ur ,re;s~ circ-tilt f©r replacetneni I'Icetric Wrier I-f eaten or p«ii~er ~aenlecl c~ixtt:r trealr;r. --_...__._ I~ecarrrrectio~r t~f tfr~- ~c.~s-eJic;c~ fintrarrce Cat~Ie,l~letcr Fox, alterations to receptacles arrci li{.~htir2g !_i~zttra rlrre tCs siding ~ sc~f-fa in~lattation. ~lt~te; ~Iew ,~,erviGe 1ntr~rnrn Cables will ~-{;c~uir•e a separate permit.- -__-__-- I~f;c:r~rrti:raiar, tjr ~rf ;x €:ir4:~it ~fc,r- the re~rlacerner~t ~~f a~her perntanentl~ ~~~iretl alrlili~€rrces ! flxiures. __~ fi••1c:;~' cir~c~rit fc~r the rtc'r~iiticrsZ vi A/C° to arr irtdivitfarr~l t~ruedlztr~ trait (house or' tlr;. i~rtli~;ideal st!ut~tiis in t, ctriple,s fir corrdorrrir~itrrrrj, irrcttrdirrf; required service Ca~Lftr°iCsil {?tr:~t:t~s. t3tlret I Ile a-alrte ~..>'tlris c~-t3r~ is ~ fUd • ~U 1 (tereb~~ ~~erity this ~~.~r~ric ~~-ii( tits p~.r(t?i~~7~~t1 tw rf~ c~r~~pt©yee cif this ccrmpar3y and lirrtlier ~acrity the rr;cc~n4aect-i~,~ ' installation evil( l~r tic~ne irr c;orrll3liance E~~ith r~~anufact~rtr• ar~cl lulcctrir, code re~u t rt;I2IC•irCS. r. .__ .____-_ ._._ .,._...~___. -, ~..-~__r~..~__,._._._. _~ _.-._._~-~ (5t«natt~r art t`crr~rl~ar~~ ~}~rtccrj {Print z~~arr7t~ of ~)ihs~cr~ {L~~tc:~ <.;u. _ __