HomeMy WebLinkAbout0144933-HVAC (furnace) 0 CITY OF OSHKOSH No 144933
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 310 S WESTFIELD ST Owner MATTHEW J /BRENDA K FELIX Create Date 02/18/2011
Contractor MARK WEBER HEATING & COOLING IN Category 500 - Residential - Heating & Ventilating Plan
Fuel u Gas U Oil J Electric Li Solar u Solid
System ❑ New 0 Replace [] Other
u Forced Air u Radiant u Steam u NC ❑ Vent
Li Electric U Hot Water Suppl. J Con. Burner
Chimney Type j Chimney A () Chimney B • Direct Vent 0 Not Applicable
Heat Loss O As Approved 0 Existing • Not Applicable Value
BTU Rate O As Per Plan 0 Variable • Other Value
Use /Nature SFR / REPLACE FURNACE, EIV SIGNED BY VECTOR ELECTRIC * *debit acct
of Work
I I
Fees: Valuation $1,600.00 Plan Approval $0.00 Permit Fee Paid $34.00
Issued By: O ) v t Y Date 02/18/2011
❑ Permit Voided Parcel Id # 0615030000
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
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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.
02/17/2011 12:42 FAX 21002
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City of Oshkosh
Division of Inspection Services
P.O. Box 1130 et
Oshkosh, WI 54903 -1130 44,9
Phone (920)236 -5050 .
Fax (920) 236 -5084
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oN TMF WATFR
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. • i
OR
If you are a contractor pgr11e1pa1Init in the Pormiqfie iecoxnt_Systent and kgyi ddqucuo_fitr is. check agLe
if you want this processed through your account
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** 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. J
DATE /I7 /l�
JOB ADDRESS S / 0 S. t4 6
OWNER i'll i"= !, &,(
CONTRACTOR
CHECK 9J ALL APPLICABLE l
0
USE CATEGORY
()knee Family °Duplex °Multi- Family °Rental C1Comercial ❑Industrial
�g y rn
FUEL as ❑Electric °Solid SYSTEM ❑Neweplace
❑Oi ❑Solar . ❑Other
E 1
i
f orced Air °Radiant ❑Steam DA /C ❑Vent °Electric DHot Water DSuppl.. ❑Con. Burner
i
IS CHIMNEY BEING LINED o °Yes - LINER SIZE & MANUFACTURER
Now: All chimneys shall be sized p . the BTU's being vented.
CHIMNEY TYPE ❑Chimney A °Chimney B erect Vent ❑Other
HEAT LOSS DAs Approved ❑Existing °Not Applicable
BTU RATE DAs Per Plan °Variable ❑Other Value . i
DESCRI ' TION / SCOPE OF ALL WORK B ' ING DONE 1: - LUMrar l — 7
- f,,) '- .F--.9 d Q.J
VALUE (Including labor and materials) $
is
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
Received Time Feb, 17. 2011 12:39PM No.4708 07i07
1 1 1
02/17/2011 12:42 FAX a001
• Chy of 0$hkosh
Dirilion of inspection Services
215 Church Avenue
�/I PO Bois 1130
Oat RI : o� a 910 236 1]0
4050
• N Fax 9204364084
Electric Installation Verification
1 (We) pc4101 l ,�. �',�'. e. Lam
Electrical Contractor Name or Ho �'
meownex s Nama)
'i AIr 4,. Ativ, 4 . a t .4 %
(A• • rasa) � (City) •, p, '�rs>r,�l,
(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)
? Reconnection or new circuit for replacement Heating plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Seater 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
electrk on a single family owner occupied home. Work on a condominium,
duplex, rental, or multi -use building would require a licensed Electrical
Contractor.
Other
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The value of this work is $ 450 .1D 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.
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Received Time Feb. 17. e Q 4708— 1:4V 4 7/ /