HomeMy WebLinkAbout0144217-HVAC (furnace & a/c) 0 CITY OF OSHKOSH No 144217
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2842 STONEY BEACH ST Owner JULIE J RUCK Create Date 11/30/2010
Contractor MARK WEBER HEATING & COOLING IN Category 502 - Residential -Both Plan
Fuel U Gas Oil U Electric J Solar U Solid
System [] New I 0 Replace 1 ❑ Other
I✓j Forced Air u Radiant U Steam A u A/C ❑ Vent
Lf Electric Li Hot Water Li Suppl. L1 Con. Burner
Chimney Type J Chimney A () Chimney B • Direct Vent 0 Not Applicable
Heat Loss ( ) As Approved () Existing • Not Applicable Value
BTU Rate r() As Per Plan ❑ Variable • Other Value
Use /Nature SFR / Replace furnace and a /c. EIV signed by Vector Electric. ""'debit acct
of Work
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $85.00
/
Issued By: 1. /K.o[/ Date 11/30/2010
❑ Permit Voided Parcel Id # 1414990000
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.
11/30/2010 06:33 FAX ll 001
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050 HK H
Fax (920) 236-5084
ON T M AM
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 Wl 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.
1 ou re a • •artic satin • i ti - Permit e • : aunt - and he a ade•ua = nds , ck h
if you want this processed through your account f
** 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 EXY when such is required, will not be
processed for Permit Issuance and will be returned for completion. /
DATE '"
JOB ADDRESS 0C D L 2 STD 'A ` 1l'S t71 67
7
OWNER -LA" fr
CONTRACTOR /74)/ke /.4)E
CHECK El ALL APPLICABLE
USE CATEGORY
Phingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
❑Electric ❑Solid SYSTEM DNew ,I t-eplace
FUEL �as ._
0011 ❑Solar ❑Other
' T PE
Forced Air °Radiant ❑Steam AC OVent ❑Electric °Hot Water ❑Suppl. • ❑Con. Burner
IS CHIMNEY BEING LINEDOYes - LINER SIZE _ & MANUFACTURER _
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE OChimney A ❑Chimney B ct Vent ❑Other
HEAT LOSS DAs Approved °Existing ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable ❑Other Value
DE IPTION / SCOPE OF ALL WORK BEING DONE__ triir. ti .� � Z
� rto eLJ X1-4 t 7 i OM
VALUE (Including labor and materials) , J.bOO ' O -
ELECTRICAL CONTRACTOR (for projects not requiring an E1V Form) -
Received Time Nov. 30. 2010 6:31AM No. 3885 07/07
11/30/2010 06:33 FAX Z002
City of Oshkosh
Division of Inspection Survives
215 Churo h Av,IpJ
Po Bos 1130
oehlwshWS s4903.113Q
•! •Y Moo 920. 236.5050
Fox 920.236 -M4
Electric Installation Verification
X(We) ?•,,/
lectrical Contractor Name or Homeowner's Name)
•
(A. dreis) ( • .. ? • „ . .
City) (State) (Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
sYb ,�
—
(Address where work will be performed)
The nature of the work consists of:. (Check One or Describe the Nature of Work)
i< Reconnection 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 $ ,7( • 0
1 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.
Received Time Nor v. 30•..,201 6:31AM.No. 3885_ — .�tl'.14O