HomeMy WebLinkAbout0133843-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address -1617 GROVE ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner JOHN J MUZA
No 133843
Create Date 11/06/2008
Contractor MARK WEBER HEATING & COOLING IN Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil ElecVic Solar Solid
System ^ New ~ ^/ Replace ~ Q Other
/ Forced Air Radiant Steam A/C Vent
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
.FR /Replace furnace. EIV signed by Electrical Construction Services. '*debit acct •, : '
Fees: Valuation
Issued By:
Plan Approval $0.00 Permit Fee Paid $25.00
^ Permit Voided
Date 11/06/2008
Parcel Id # 1511030000
In the pertomtance 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 appliption 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
AgenUOwner
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 fs 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-I 130
Phone{920)236-5050
Fax (920)236-503
HVAG PERMtT APPLIGATIQN
Ap information after bold categories must be provided.
[ncomplete applications will not be processed.
01HK.~N
CN Ti-'F WATER
~ Application(s) and fee(s) can be brought to City IIa1l, Room 20S or mailed to Inspection Services, PO Box 1128,
Oshkosh WI S~1903-1128. Commencing work without permit{s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I~you are a contractor ~articipatrn~in the Permit fee Account System and have ade~c uate funds, cheek here
~you want this processed throzzg{r your account ~1---•-•~
** Advisory -For applicable projects, an Electrical Listallation Verification {EIIV} 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 /r/ ~"~ ~"
JOB ADDRESS ,~~t,•..2' ~ ~ ~~`~~~ _
OWNER ~~ ~~•~.~ t-.t. "~j~".
CONTRACTOR ~~ ' ---~~~`j`~ .
CHECK H ALL APPLICABLE
U CATEGORY
Ingle Family ^Duplex ^Nluiti-Family Rental ^Commercial ^lndustrial
FUEL ~as ^Electric Solid SYSTEM ^New ~eptace
^Oil OSolar DOther
TYPE
~Ferced Air ^Radiant ^Steam ^AiC C]Vent ClElectric Hot Water ^Suppl. C7Con. Burner
IS CHIMNEY BEING LINEll j~o GlYes -LINER SIZE & 'MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A C}Chimney B
HEAT LOSS ^As Approved Existing
BTU RATE DAs Per Plan ^Variable
^Other
DESCRIPTION l SCOPE OF ALL WORK BEING DONE ~c-~i"~-~'~sy'~ ~/C
:~
VALUE (Including labor and materials) $~ Q~C~ ~ ~ ~!
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
~7irect Vent
Not Applicable
C30iher Value
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