HomeMy WebLinkAbout0145749-HVAC (furnace) 0 CITY OF OSHKOSH No 145749
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1507 MOUNT VERNON ST Owner RUSSELL C SANDERS Create Date 05/03/2011
Contractor MARK WEBER HEATING & COOLING IN Category 500 - Residential- Heating & Ventilating Plan
Inspector
Fuel J Gas U Oil U Electric L Solar LJ Solid
System ❑ New n Replace 1 Other
[ J Forced Air LJ Radiant Li Steam L A/C u Vent
Electric Lf Hot Water LJ Suppl. Li Con. Burner
Chimney Type 0 Chimney A Q Chimney B • Direct Vent Q Not Applicable
Heat Loss Q As Approved 0 Existing • Not Applicable Value
BTU Rate Q As Per Plan Q 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: CZ/ Date 05/05/2011
Permit Voided Parcel Id # 1505730000
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 V1006
City oOfnsh
Division o on of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236-5050
Fax (920) 236 -5084
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HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications wilt 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.
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** Advisory - For applicable projects, an Electrical Installation Verification (ETV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be perforated 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 Gt -S -41
JOB ADDRESS /$$ / � ----
OWNER • Q kcc _ $ i 2;1 SS
CONTRACTOR -
CHECK Z ALL APPLICABLE
USE CATEGORY
*Ingle Family °Duplex °Multi- Family ORental °Commercial Olndustrial
O Electric °Solid SYSTEM °New SZtoplace
FUEL pans
°Solar °Other --
ClOif
TYPE
friorced Air ORadiant °Steam DA /C l7Vent ❑Electric Ell-rot Water DSuppl. °Con, Burner
IS CHIMNEY BEING LINED Ao °Yes - LINER SIZE _ & MANUFACTURE
Note: All chimneys shall be sized per the BTU's be vetted.
CHIMNEY TYPE °Chimney A °Chimney B direct Vent °Other
HEAT LOSS DAs Approved °Existing °Not Applicable
BTU RATE DAs Per Plan °Variable ClOther Value
DES TION / SCOPE OF ALL WORK BEING DONE gf-Rue
_A*4:
VALUE (Including labor and materials)
1t1.,ECT1UCAL CONTRACTOR (for projects not requiring en EIV Form) ._ - -�-'
Received Time May. 3. 2011 9:35AM No. 5486 o,io
05/03/2011 09:39 FAX
0 005
City of Oshkosh
Of Aldo of 1'nspccliun Services
2IS Churoh Avenue
PO Bux 1130
T �,� A.hkoshwt 64103.1130
�1���` oftfloo 910430.5050
: y Fax 920.236.3084
Electric Installation Verification
I (We) �' , r
(Electrical Contractor Name or Homeowner's Name)
•
(A cress) (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 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,
duplex, rental, or multi -use building would require a licensed Electrical
Contractor,
Other
The value of this work is $ /Gd - n d
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 May. 3. 2011 9:35AM No. 5486