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HomeMy WebLinkAbout2011-HVAC (furnace) l CITY OF OSHKOSH No 145093 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 636 W 4TH AVE Owner CYNTHIA OLESEN Create Date 03/08/2011 Contractor MARK WEBER HEATING & COOLING IN Category 500 - Residential- Heating & Ventilating Plan Fuel I ✓J Gas Li Oil 1 Electric Li Solar L Solid System n New I ( ] Replace I L Other L✓� Forced Air Li Radiant LA Steam LJ A/C HI Vent Electric Li Hot Water Li Suppl. Con. Burner Chimney Type 7 , ) Chimney A () Chimney B 0 Direct Vent 0 Not Applicable Heat Loss 0 As Approved 0 Existing • Not Applicable Value BTU Rate 0 As Per Plan O Variable 0 Other Value Use /Nature SFR / Replace furnace. EIV signed by Vector Electric. '*debit acct of Work Fees: Valuation $1,800.00 Plan Approval $0.00 Permit Fee Paid $37.00 Issued By: C Date 03/08/2011 ❑ Permit Voided I Parcel Id # 0603190000 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. 03/08/2011 08:43 FAX I�j004 City of Oshkosh Division of Inspection Services P,O, Box ]]30 Oshkosh, WI 54903 -1130 ( 411- ) Phone (920) 236 -5050 • Fax (920) 236 -5084 4011-1 WAATT HVAC PERMIT APPLICATION AII 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 Ifyets are a contrac grparticipating in the Permit ;• Account System and have adequate funds, check here 1 ou 'tt r ss d t .h o, & • .1 (►• ** Advisory - For applicable projects, an Electrical Installation Verification (ETV) 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 ETV when such is required, will not be processed for Permit Issuance and will be returned for completion. DATE 3 /23 I ) JOB ADDRESS _ LO SG OWNED c! Oki 0 CONTRACTOR /'�+'�12 ✓. lti��' IT1 CHECIC Ca ALL APPLICABLE USE CATEGORY alSingle Family °Duplex COMulti- Family DRental DCommercial °Industrial FUEL Qas °Electric °Solid SYSTEM °Now Other p Zepiace °Oil °Solar TYPE ijOEarced Air °Radiant °Steam DA /C ©Vent ❑Bleotric F Hot Water OSuppi. • OCon. Burner IS CHIMNEY BEING LINED EafitilnYes - LINER SIZE & MANUFACTURE Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE �Ag Approved °Existing B � °Other HEAT LOSS Mot Applicable BTU RATE OAs Per Plan DVariable C1Othor Value DESC : PTION / SCOPE OF ALL WORK BEING DONE - J 7 A/L i4 ✓) . Ian C & J VALUE (Including labor and materials) ELECTRICAL CONTRACTOR (for projects not requiring au EW Form) _ _ Received Time Mar, 8. 2011 8:39AM No,4879 07/0 03/08/2011 08:42 FAX el003 City or Oshkosh DINsioa of Ittspec1ion Services 215 Churoh AMemte PO Box 1130 .� �'(��,� atkatiwt s490)-11313 : : Ot9be 920.2363050 FIX 920•336.50B4 Electric Installation Verification I (We) . - l r • .. _ lectrical Contractor Name or Homeowner's Name) (A• • ess) (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 beater. 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, da4plex, rental, or multi -use building would require a licensed Electrical Contractor. Other The value of this work is $ /'O . G 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 farther verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. 3) ?lit Received Time Mar. 8. 2011 8:39AM No.4879