HomeMy WebLinkAbout0133429-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address 166 W 17TH AVE
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner JERRY L! LINDA J MARTIN
No 133429
Create Date 10/10/2008
Contractor MARK WEBER HEATING 8 COOLING IN Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas r Oil Electric Solar
System ^ New ~ Q Replace ~ ^ Other
/ Forced Air Radiant Steam A/C I
~___~
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
of Work
Solid
Vent
FR /REPLACE FURNACE, EIV SIGNED BY ELECTRICAL CONSTRUCTION SERVICES LLC (Greg Davis) "debt acct
Fees: Valuation $1,600.00 Plan Approval $0.00
Issued By:
Permit Fee Paid $34.00
Date 10/10/2008
^ Permit Voided
Parcel Id # 0305590000
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.
• 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) 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 ~U r ~Cl''
JOB ADDRESS I (! ~
CONTRACTOR ~' ~ ~~~ ~~1
OlHKO1H
ON THE WATFR
CHECK ~ ALL APPLICABLE
U E CATEGORY
Ingle Family ^Duplex ^Multi-Family
^Rental ^Commercial
OIndustrial
FUEL '~6as OElectric ^Solid
^Oil ^Solar
SYSTEM ^New,
^Other
eplace
E
orced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
~~
IS CHIMNEY BEING LINEDo ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized p the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B ,Direct Vent ^Other
HEAT LOSS ^As Approved ^Existing ^Not Applicable
BTU RATE ^As Per Plan ^Variable ^Other Value
/SCOPE OF ALL WORK BEING DO
~ i
VALUE (Including labor and materials) $ ~ ~~~ ~a '
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
o~~o~
EZ 4 ! H~+ ~,x
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