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HomeMy WebLinkAbout0141772-HVAC (furnace) 0 CITY OF OSHKOSH �; No 141772 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD, 41/3 °Mo ON THE WATER \ . ®4TE Job Address 318 E NEW YORK AVE Owner GERALD J PAYNE Create Date 06/29/2010 Contractor MARK WEBER HEATING & COOLING IN Category 500 - Residential- Heating & Ventilating Plan Fuel U Gas Oil U Electric Solar Solid System ❑ New I n Replace 1 ❑ Other u Forced Air u Radiant u Steam u NC J Vent Lf Electric Li Hot Water Su 1. U PP L I Con. Burner Chimney Type fl Chimney A 0 Chimney B y • Direct Vent 0 Not Applicable Heat Loss u As Approved () Existing 0 Not Applicable Value BTU Rate K() As Per Plan 0 Variable 0 Other Value Use /Nature SFR / Replace furnace. EIV signed by Vector Electric. **debit acct of Work Fees: Valuation $1,790.00 Plan Approval $0.00 Permit Fee Paid $37.00 Issued By: C. ,t/ Date 06/29/2010 ❑ Permit Voided I Parcel Id # 1506950000 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. 06/29/2010 09:07 FAX 1002 • City of Oshkosh Division of Inspection Services P.O, Box 1 130 Oshkosh, WI 54903 -1130 NMI Phone (920) 236.9050 Fax (920) 236 -5084 •Tj (.y 0' rrA R 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 Hail, 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 th normal permit fee, which ever is greater. OR , , • „ _ , . jfyou want this processed through Your account v ** Advisory - For applicable projects,.an EIectrical Installation Verification (EIV) form, signed by the Blectrica Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EI'V when such is required, will not be processed for Permit Issuance and will be returned for completion. ,� DATE lca - e3 i f) JOB ADD - 4;0 • OWNER CONTRACTO / a CHECK 0 ALL APPLICABLE U S E CATEGORY Ingle Family ODuplex OMulti- Family lJRental OCommercial ❑industrial FUEL ikas C1Electric ❑Solid SYSTEM CINew ,keplace 0011 ❑Solar DOthor Z r E ced Air ❑Radiant ❑Steam DA /C ❑Vent CDElectric ❑Hot Water DSuppl. ClCon. Burner IS CHIMNEY BEING LINED titto ❑Yes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑Chimney A °Chimney B jrect Vent ❑Other HEAT LOSS ClAs Approved ©Existing CINot Applicable BTU RATE DAs Per Plan ❑Variable l7Other Value ' D RIPTT1ON / SCOPE OF ALL WORK BEING DOME . _., t�I - .e� ' r✓ rr ? ' A— AbL d VALUE (Including labor and materials) $ 1 ? 1 , Ck1 Received Time Jun 29 2010 06AM,, No ;.1702 ,,,, .r.r nirloarew RTVFnrm) 06/29/2010 09:06 FAX a001 City of Oshkosh Division of Inspection Sorvioes 215 Church Avamm PO Box 1130 •TJ�. w Oshkosh WI 54903 -1130 of1os 920.226.3050 • Fax 920 - 2364084 Electric Installation Verification I (We) ` , .,. r ;- . . lectrical Contractor Name or Homeowner's Name) . (A • dress) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: 61 I _ (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) r econnection or new circuit for replacement Heating Plant and/or A/C Condenser. Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replacement of other permanently wired appliances / fixtures. New circuit for the addition of A/C to an individual dwelling unit, including required service electrical outlets. Note: Homeowners can only do their own electric on a single family owner occupied home. Work on a condominium. duplex, rental, or multi -use building would require a licensed Electrical Contractor, Other The value of this work is $ /lea • a c • I hereby verify this work will be performed in compliance with the License requirements of Section 11.22 of the Oshkosh Municipal code and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. ( ro of Company 0 ` r Homeowner) (Print Nsune) (Date) Received Time Jun.29, 2010 9 :06AM No. 1702 07107