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HomeMy WebLinkAbout0145720-HVAC (furnace) 0 CITY OF OSHKOSH No 145720 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1224 HARNEY AVE Owner WALTER JUEDES TRUST /SUSANNA LAS" Create Date 05/03/2011 Contractor MARK WEBER HEATING & COOLING IN Category 500 - Residential- Heating & Ventilating Plan Inspector Fuel 11 Gas J Oil u Electric Li Solar u Solid System n New 1 0 Replace [ Other u Forced Air u Radiant u Steam Lf NC u Vent U Electric U Hot Water J Suppl. 1 f Con. Burner I 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 I Parcel Id # 0804880000 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 09:38 FAX Lj 001 City of Oshkosh • • Division of inspection Services P.O. Box ] 130 Oshkosh, WI 54903 -1130 Phone (920) 236 -5050 • Fax (920) 236 -5084 O.f HKOJi -1 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 Hail, Room 205 or trailed 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 groator. OR o ■ - a or 4ctor ar - ' t • r • d he - tt ee Acc•u t S s -[ t, t [ 'v= ide • ate to • 1 =ck here you want this p-rQcessed through your account pl. ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (fox 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 4 /- 'Gf JOB ADDRESS / X 71 " OWNER CONTRACTOR CHECK QI ALL APPLICABLE USE CATEGORY 0.Single Family ©Duplex ❑Multi - Family piRental ❑Commercial ❑industrial FUEL 4Gas DElectric ❑Solid SYSTEM ONew ❑Replace Oil ❑Solar CJOther TYPE )1IForced Air QRadiant ❑Steam DA /C °Vent ❑Electric OHot Water ❑Suppl. • ❑Con. Burner IS CHIMNEY BEING LINEDOlo ❑Yes - LINER SIZE & MANUFACTURER. Note: All chimneys shall be sized per the BTU's being vented. • CHIMNEY TYPE °Chimney A ❑Chimney B ,R1Direct Vent ❑Other HEAT LOSS ❑As Approved ❑Existing ONot Applicable BTU RATE DAs Per Plan °Variable ❑Other Value n - DES IPTION / SCOPE OF ALL WORK BEING DONE ■ . de- : 'rev r7 R . r '�Cy (n4 iLit - .1.4M I�ie J ` VALUE (Including labor and materiois) $ fJ -- ELECTRICAL CONTRACTOR (fur projects not requiring an EIV Form) Received Time May. 3. 2011 9:35AM No. 5486 07/0 05/03/2011 09:38 FAX I1002 City of Oshkosh Division ofhtspcciion $arvicrs 215 Church Avatuo PO Box 1130 (916Aush WI 349034130 OTj :lt`1,A °Mod 9:10.230.9030 pax 920. 236.9084 Electric Installation Verificatio , I (We) • ,, �( r (Electrical Contractor Name or Homeowner's Name) A Aid i' �t� �. !j' (A• I ress) (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) ) 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 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 $ .15e h•ei . 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. 414‘14:"1-4/1.. ____TetEsatagateett_ — Received Time May. 3. 2011 9:35AM No. 5486