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HomeMy WebLinkAbout0144249-HVAC (furnace) l CITY OF OSHKOSH No 144249 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1309 LIBERTY ST Owner MARC A/JESSIE J MILLER Create Date 12/02/2010 Contractor MARK WEBER HEATING & COOLING IN Category 500 - Residential- Heating & Ventilating Plan Fuel U Gas 00 U Electric Solar _I Solid System n New 1 0 Replace 1 ❑ Other u Forced Air ❑ Radiant ❑ Steam VI] A/C J Vent Li Electric U Hot Water Li Suppl. U Con. Burner Chimney Type ( ) Chimney A () Chimney B 0 Direct Vent • Not Applicable Heat Loss j As Approved 0 Existing 9 Not Applicable Value BTU Rate 0 As Per Plan 0 Variable • Other Value Use /Nature SFR / Replace furnace. EIV signed by Vector Electric. * *debit acct of Work Fees: Valuation $2,500.00 Plan Approval $0.00 Permit Fee Paid $47.50 Issued By: .q/ Date 12/02/2010 ❑ Permit Voided Parcel Id # 1203730000 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. 12/02/2010 05:09 FAX 0002 City of Oshkosh • Division of Inspection Services P.O. Box 1130 W Oshkosh, WI 54903 -1130 Phone (920) 236 -5050 • Fax (920) 236 -5084 O.lHK DJH ON INF WATFR I I HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. • Application(s) and fee(e) 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 S100.00 plus the normal permit fee, which ever is greater. OR I . _ ar- • ., rr for •arllcl•atin- in the aunt , and have ade••uate un•s -ck here - 0 tit • i , . . • . f t !4 ** 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 EIY when such is required, will not be processed for Permit Issuance and will be returned for completion. 2 DATE 1a1V / JOB ADDRESS / t ��'�l' 1 OWNER / v7 KGG/2 _ CONTRACTOR / /974 CHECK 0 ALL APPLICABLE USE CATEGORY ,Erging1e Family °Duplex ❑Multi- Family °Rental ❑Commercial [Industrial FUEL FOas ❑Electric ❑Solid SYSTEM ❑New emplace 0011 ❑Solar • °Other T E arced Air !Radiant COSteam DA/C OVent !Electric ❑Hot Water ©Suppl. ' ❑Con. Burner IS CHIMNEY BEING LINED Oils ❑Yes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑Chimney A OChimney B , birect Vent ❑Other HEAT LOSS DAs Approved OExisting ❑Not Applicable BTU RATE OAs Per Plan OVariable ❑Other Value • DES RIPTION / SCOPE 01? ALL WORK BEING DONE /Ldp, & C • Arid .: at) VALUE (Including labor and materials) $ VOC) ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) Received Time Dec. 2. 2010 5:07AM No. 3911 07/07 12/02/2010 05:09 FAX Z001 City of Oshkosh Division of Inspection Sarvi as 215 Cburoh Avenue PO Box 1130 ��,� • M Oshkosk W1 5490) -11'd0 ii: OtAae 920436.1050 Fix 910.236.5084 • Electric Installation Verification I (We) reratiie 6 YerirArli ' LLG-. (Electrical Contractor Name or Homeowner's Name) (A• d'eis) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: 3C Le (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) 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. Reconneotion 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 $ /e, O d 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. i r L; � ire ' .. Received Time � Dec. 2. 5 :07AM — ' ( o comm./ Arszoor-nr r+nrnrnwnrr r /nom. ��_ - -- - '