HomeMy WebLinkAbout0152624 - HVAC (replace furance) (9 CITY OF OSHKOSH No 152624
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 531E IRVING AVE Owner CHARLES E WILLIAMS
Create Date 09/27/2012
Contractor MARK WEBER HEATING&COOLING IN Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate ------
Fuel 121 Gas -1
Oil i f Electric i Li Solar
J I_Salid
System ❑ New — —J 10 Replace p _i 0 Other
0✓ Forced Air —
__ it ] ❑ Radiant Steam
Li U A/C I J Vent
Electric
------ --] a Hot Water ❑ Suppl. I J Con. Burner
Chimney Type 0 Chimney
Y A ❑ Chimney B ❑ Direct Vent ❑ Not Applicable
Heat Loss
❑ As Approved ❑ Existing • Not Applicable Value
BTU Rate
As Per Plan
Variable 0 Other -1 Value
Use/Nature DUPLEX(LOWER)/REPLACE FURNACE, ELECTRICIAN IS SECKAR ELECTRIC **debit acct
of Work
Fees: Valuation _ $1,600.00 Plan Approval $0.00
Permit Fee Paid $34.00
Issued By: 5 --- — Date 09/27/2012
❑ Permit Voided I Parcel Id#0405590000
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.
09/27/2012 09:39 FAX 0001
city nfkoslt
Division of Inspection Services
P.O. Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)2 • ��
36-5084 H
ON TF • WAIL
HVAC PERMIT APPLICATION
All information alter bold categories must be provided.
Incomplete applications will not be processed.
• Application(s) and fee(s)can be brml ht to City 1-X311,Room Us or tziailecl to IIapoction Services,?O Sox 11211,
Oshkosh Wt 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 re-n oaR
' t,r pw'ti. gjing.in-the Permit fe�Accvrrnt System and. have adgcrrtate ft! / cI rsc _LtesJ:e
! ,nit iiiwujjtht pr'occsed thro, 'Ii your acc.ounL,
"Advisory-For applicable projects, an Electrical Installation Verification(ETV)form, signed by the Electrical
Contractor or Iomeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an Ely when such is required, will not be
processed for Permit Issuance and will be returned for completion. lAT1l; ..) i
_
+SS .. - --.. — -.. .i / ievtifAc, (c_00 -1-\,,
JOB ADDRESS
OWNER_ _, C 1 W ( L .-i -141.4,1.
CONTRAC -_
CHECK IZ1 ALL APPLICABLE
USE CATEGORY
ngle Family )4uplex °Multi-Family DRental DCominerciel °Industrial
FUEL as IDElectric L3Solid SYSTEM ❑New eplace �^
L70i1
C1Solar DOther _.._�-
TYPE
z.(u_cecl Air E]Radiaiit °Steam DA/C OVent ClElectric Mot Water OStipp!. Mon.BurnOr
IS CIIiVINEY BEING LINED
<) Mos -LINER SJZL._____—__&MANUF ACTURER_..______ _
Note: All chimneys shall be sized Iwr tbe'R.TCP a being vented.
liimney A DChimney B ❑Direct Vent ❑Other
CHIMNEY TYPE pNot Applicable
HEAT LOSS DAs Approved °Vaiiaabl °Other Value_ ..--- J_
BTU RATE DAs Per Plan 1 �Z,
DFSc IPTION/SCOPE OF ALL WORK BEING --.1D-ILA:—.'
------
A J �.i f.
VALUE (Including labor and materials)1.._ . .
..ri q.n, ..voiects not requiring pa ,I Forni).---�-
Receiced TimeiSep. 27, )2012��9: 33AM No. 1006 a