HomeMy WebLinkAbout0152531 - HVAC (replace furance) (9 CITY OF OSHKOSH No 152531
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 851 HARMELAVE Owner TERRY LAARONSON Create Date 09/24/2012
Contractor MARK WEBER HEATING&COOLING IN Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel ✓ Gas 1 L Oil U Electric I U Solar J �olid
System ❑ New A 0 Replace ❑ Other
Q Forced Air I : Radiant ] Steam ❑A/C 7 U Vent -
❑ Electric ❑ Hot Water Li Suppl. Con. Burner
Chimney Type 0 Chimney A
y 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved O Existing 0 Not Applicable Value
BTU Rate As Per Plan O Variable • Other Value
Use/Nature SFR/REPLACE FURANCE **debit acct
of Work
Fees: Valuation $2,600.00 Plan Approval $0.00 Permit Fee Paid $49.00
Issued By: /3 Date 09/24/2012
❑ Permit Voided Parcel Id#1412180000
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.
09/24/2012 07:45 FAX [ l001
City of Oshkosh
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236••5050 KS- I
i ax (920)236-5UN4 oN THk WA I:a
HVAC PERMIT APPLICATION
Ali information after gold categories must be provided.
Incomplete applications will not be processed.
• App)ication(s) and fee(s) can be brought to City Hall,Room 205 or mailed to inspection Services,PO Box 1128,
Oshkosh WI 54903-J 128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
OR c t1 5>>sleei n have ude, ateji'"�L� c eck here
If1su arg�c �actnr• paiLl h Parr 'r a /(_.s:i71i,_
ii'y a 1 2171 MI$_ 0 ,4, 11 'oar Ir N ALAS—.ul
*,r Advisory-For applicable projects, an Electrical Installation Verification a(EIV)form,homeowner) gnedbe submitted the ect ca
Adtary
Contractor or Homeowner(for installations
submitted without EIV when such is required, will not be
with the permit application. Applications �
DATL
processed for Permit Issuance and will be returned for completion. ..
V �
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JOB ADDRESS _
OWNER__ _jeh 2 I. . •
J ��d S�
"
CONTRACTOR__ �
CHECK 171 ALL APPLICABLE
USE CATEGORY
'nee Family °Duplex DMuiti-Famil y ❑Rental DCormerci °Izdtst>ial
°Electric DSolid SYSTEM ONew
enlace
Fun. a L7
p �- DOther_.___-___ —_...
OiSolar
TYPE
OSteatn DA/C OVet�t ClElectric 0Ilot Water OSuppi. OCon.Burner
�cti�eci Mr pRadiant ���^
IS CI�1<1MNEY BEING YaIN1GD�° ❑YT's -'LINIiR SIIL'_ __
&MANUPACTUItER
Note: All chimneys shall be aiiotti lE�r the g'IX1's being vented. ect Vent [70tlter
,4hiuzney A OChimney B u- Applicable
HEAT CHIMNEY LOSS TYPE -' °Existing ONot Apl .�
)FXYCIJ LOSS DAs Approved °Variable °Other Value_, �--�-
$'rYI RATE pAs Per Plan -- ' .-x I s 4 JC.
�r TIIOPI /SCOPE OF ALL WORK BEING DON. E �=
DF .rti J .e_ YI) .J J� f.
.�,� n N n c .�171
VALUE(Including labor and materials) .4�-r-
'-cis not requiring an EIV Form), �.�----
Received I imeCSep• 21, (20121 7: 390PNo, 0931'