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HomeMy WebLinkAbout0145094-HVAC (furnace) 0 CITY OF OSHKOSH No 145094 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1512 BEECH ST Owner KEN W /LAURIE L KANDLER Create Date 03/08/2011 Contractor MARK WEBER HEATING & COOLING IN Category 500 - Residential- Heating & Ventilating Plan Fuel U Gas LJ Oil LJ Electric Li Solar U Solid System ® New 121 Replace n Other u Forced Air LJ Radiant LJ Steam LJ NC LJ Vent Electric LJ Hot Water LJ Suppl. LJ Con. Burner Chimney Type j Chimney A () Chimney B • Direct Vent 0 Not Applicable Heat Loss 0 As Approved 0 Existing • 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 $1,400.00 Plan Approval $0.00 Permit Fee Paid $31.00 Issued By: Date 03/08/2011 ❑ Permit Voided I Parcel Id # 1206410100 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 08:42 FAX 11002 City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903 -1130 4°1) Phone (920)236 -5050 Fax (920) 236 -5084 Ofl < f H 614 THE WASFR HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications well 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 •r- •ntr' t•r ' satin! "< < uit = ounr , , !I �.v • de• a = • . chec. � - ' • _ vane thi • 'ocesset ro • • r accou ** 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. »ATE JOB ADDRESS /S . / 2 R iq OWNER K: 1# V '1.)0 CONTRACTOR f 4 9 1iifZ - -- — --- CHECK El ALL APPLICABLE USE CATEGORY mingle Family °Duplex DMulti- Family °Rental ❑Commercial °Industria.l FUEL t Oas °Electric °Solid SYSTEM CINew It Replace DOil DSolar DOther TyPE ore orced Air C7Radiant °Steam 0A /C °Vent °Electric °Hot Water QSuppl. IOCon. Burner IS CHIMNEY BEING LINED)Io OYes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑Chimney A °Chimney B 0: Urea Vent DOthor HEAT LOSS DAs Approved °Existing °Not Applicable BTU RATE DAs Per Plan °Variable ©Other Value _ DES ' PT1ON / SCOPE OF ALL WORK BEING DONE r .:• t N6 t law .I A) ` _ liae•im ♦:j. I' —A VALUE (Including labor and materials) / '° G V ELECTRICAL CONTRACTOR (for projects not requiting an EIV Form) _ Received Time Mar. 8. 2011 8:39AM No. 4879 olio 03/08/2011 08:42 FAX fJ 001 City of Oa hkoth Divlaion of hnpeetion Services . ® 21S Churoh Avenue PO Box 1130 OtMMeeh W 1 54902 -1130 Wi cn: OA(0e 920.2364090 •, . Fax 920.2364014 • Electric Installation Verification 1 (We) • A r - / - • lectrical Contractor Name or Homeowner's Name) A dress f `yL (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: - i (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 snit, 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 multiuse building would require a licensed Electrical Contractor, Other The value of this work is S /Do ♦ d co . 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. #4. ...e................. n M y .ww.♦... +w l �w . ♦ J Received Time Mar, 8. 2011 8:39AM No.4879