The URL can be used to link to this page

Home My WebLink About0145721-HVAC (furnace) CITY OF OSHKOSH No 145721 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1404 GRAHAM AVE Owner THEODORE J DONKER Create Date 05/03/2011 Contractor MARK WEBER HEATING & COOLING IN Category 500 - Residential- Heating & Ventilating Plan Inspector Fuel �d Gas U Oil 1 1 Electric Li Solar I Solid System New 0 Replace n Other U Forced Air u Radiant Li Steam ❑ NC u Vent Li Electric Hot Water U Suppl. ( Con. Burner Chimney Type 0 Chimney A 0 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 $1,700.00 Plan Approval $0.00 Permit Fee Paid $35.50 Issued By: Date 05/03/2011 ❑ Permit Voided Parcel Id # 1600840000 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. 05/03/2011 09:39 FAX 2004 D[ yl Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903 -1130 Phone (920) 236 -5050 • Fax (920) 236 -5084 Ol -KO /}1 ONTNFWAY R MVAC 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. 1 .74 are a connf tor • • is • atfn - - I A= ' u t - aunt • • hay. ade ••un = nd. ch h • . a t t • oce se• < •u-h o. • •. 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 EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. DATE y ^5"# JOB ADDRESS - ' OWNEn;,�1 ? CONTRACTOR CHECK M ALL APPLICABLE USE CATEGORY Single Family 17Duplex DMulti•Family ORental ❑Commercial ❑Industrial FUEL P6as ❑Electric ❑Solid SYSTEM CINcw ,i cplace °Oil °Solar DOther TYPE reed Air °Radiant ❑Steam ❑A /C ❑Vent DBleotric IJHot Water CJSuppl. • 1]Con. Burner IS CHIMNEY BEING LINED!e °Yes - LINER SIZE_ & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE OChimney A ❑Chimney B filliakect Vent °Other HEAT LOSS BAs Approved Plan d C1Variabe ClOther Applicable BTU RATE Value DES IPTION / SCOPE OF ALL WORK BEING DONE VALUE (Including labor and materials) $ / ?'O (A ----- ELECTRICAL CONTRACTOR (for projects not requiring en EIV Form) — ----�— Received Time May. 3. 2011 9:35AM No. 5486 07/o' 05/03/2011 09:38 FAX Z003 City of Oshkosh et, 215 DM lion Chu of hAspcclian Services 215 Church avmiue PQ Bun 1130 Qahbo�h W { 0494 t Q WAWA Offio 920.130.305 Fax 910.136.5084 Electric Installation Verification I (We) • . - — . (Electrical Contractor Name or Homeowner's Name) . tom; . e d : G , ? N . (A• dress) (City) Y) (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 ofother permanently wired appliances / fixtures. • New circuit for the addition of A/C to an individual dwelling unit, including requited 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 $ "o .0 • 1 hereby verify this work will he 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. • • &act1 s u mo a. Received Time May. 3. 2011 9:35AM No.5486