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Home My WebLink About0144478-HVAC (furnace) I CITY OF OSHKOSH No 144478 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 534 CENTRAL ST Owner JEREN J NITZ Create Date 12/28/2 Contractor MARK WEBER HEATING & COOLING IN Category 500 - Residential- Heating & Ventilating Plan Fuel U Gas U Oil 1 Electric U Solar J Solid System ❑ New ! 121 Replace ❑ Other u Forced Air u Radiant ❑ Steam u A/C J Vent 1 Electric U Hot Water Suppl. u Con. Burner Chimney Type ( ) Chimney A () Chimney B • Direct Vent 0 Not Applicable Heat Loss As Approved • Existing Not Applicable Value BTU Rate 10 As Per Plan 0 Variable • Other Value Use /Nature SFR / Replace furnace. EIV signed by Vector Electric. * *debit acct of Work Fees: Valuation $2,400.00 Plan Approval $0.00 Permit Fee Paid $46.00 Issued By: 0//R,,Q„/ Date 12/28/2010 ❑ Permit Voided Parcel Id # 0704080000 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. 12/28/2010 08:03 FAX 1002 City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, W154903 -1130 Phone (920) 236 -5050 uV Fax (920) 236-5084 I 1� ON E WATER 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 $100.00 plus the normal permit fee, which ever is greater. OR I o re a contr. tor artici.a • • ' the Pemmi ee Account Svste»,gnd have adequate funds, check here rf you want this_processed through your account ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. DATE JOB ADDRESS S 3 c — i A -- OWNER I ) 01"-2— CONTRACTOR P1 /TI CHECK FE ALL APPLICABLE U CATEGORY S ingle Family ❑Duplex ❑Multi- Family :Rental ❑Commercial ❑Industrial FUEL Bras ❑Electric ❑Solid SYSTEM ❑New ,l'Replace ❑Oil ❑Solar ❑Other TYPE gltoreed Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric DHot Water ❑Suppl. ❑Con. Burner IS CHIMNEY BEING LINEDRo Des - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE DChimney A ❑Chimney B irect Vent ClOther HEAT LOSS DAs Approved C]Existing ❑Not Applicable BTU RATE DAs Per Plan ❑Variable ❑Other Value DES$ TION / SCOPE OF ALL WORK BEING DONE 4 ex I5T7A- VALUE (including labor and materials) $ Veo et-- ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) Received Time Dec. 28. 2010 8 :00AM No. 4187 07/07 1 J001 12/28/2010 08:03 FAX • City of04hkosh Divii on of 6npeclie'n Service's 215 Cburoh Avenue PO Box 1170 Oshkosh W1 54903.1110 MAW O?; 920230.3050 Fax 920.23640114 Electric Installation Verification I (We) - „r ,'. _ . lectrical Contractor Name or Homeowner's Name) r ' 44/ ,L, ' 4i v aim It ' (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) X 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 ofather 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 $ / 2 rod 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. II e p . 12)44/1‘e Received Timea�D 8:00AMo.4187. +' I tiMniMM ,, ''n...nnwfl n4T Vnw.nnw.... ' /� . - �. \ v /