HomeMy WebLinkAbout0152694 - HVAC (replace Furnace) CITY OF OSHKOSH No 152694
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 45 W SNELL RD Owner RELOAD OF WISCONSIN LLC Create Date 10/02/2012
Contractor MARK WEBER HEATING&COOLING IN Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric 11 LI Solar Ei Solid
System Li New 0 Replace J ❑ Other
✓j Forced Air ❑ Radiant ❑ Steam ❑ A/C ❑ Vent J
Ej—ETe-ctric J Li Hot Water Li Suppl. J ❑ Con. Burner
Chimney Type 0 ChimneyA 0 Chimney B • Direct Vent O Not Applicable 1
Heat Loss i0 As Approved O Existing • Not Applicable Value
BTU Rate As Per Plan 0 Variable • Other Value
Use/Nature SFR/REPLACE FURNACE, ELECTRICIAN IS SECKAR ELECTRIC **debit acct
of Work
Fees: Valuation $2,100.00 Plan Approval $0.00 Permit Fee Paid $41.50
Issued By: Date 10/02/2012
❑ Permit Voided Parcel Id#1519605600
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.
10/01/2012 14:52 FAX X001
City o1 Oshkosh
Division of Inspection Services
Oshkosh,Box WI 5
Uslrlcaslt, Wl 51903-1 l30
Phone (920)236-5050
•
nix (920)236-50134 - CII—KOJ 1-1
LPN'11-1 WATER
HVAC PERMIT APPLICATION
All infbrtnatfon alter bold categories must be provided. •
Incomplete applications will not be processed,
• Application(s) and Pee(s) can be branbltt to City Hall,Rurnin 20S or mulled to Inspection Services,PO Box 1125,
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.
OR
Illymi t{re n ev 1n ►'acier par1iclpaling in-.tha Permit evAes_oa,71 Sy,gtaLgiut have ,t c merle /'ilnr(,F,_ ehpek !{rr.�N
if yiri wont this pr•gces.se J r•rrrll,' r ou • ac r
*"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. ..
�� / DATh!:9 '"-/ _-- .
JOB ADDRESS — �� -4'�•�.- _37-1----- ...._._ .
.
OWNER 6,1111-C—.P/A)*41*A-7- (L7€314_
CONTRAC'T'OR^. .i-de c.. - 2-4k'
CHIECIC 0 ALL APPLICABLE
USE CATEGORY
'it le Family ODuplex DMulti-Family DRenta1 Commercial Dlndustrial
rC7p;I, plt as ❑Electric °Solid SYSTEM °New Owl ace
DOii COSolar DOther -
�E
k iced Air °Radiant 0Steam CIA/C ClVent Dlslectrlc !allot Water OSuppi. °Con. Burner
IS CHIMNEY BEING LINED 4o ❑Yes -LINER SIZ __._.._&MANUFACTURER_ .. __
Note: All chimneys shali be si-r..od 1'xt the B•rU'f.being vented.
CHIMNEY TYPE ;-- i�itilnoy A ❑Chimney B pirect Vent Wilier
HEAT LOSS DAs Approved °Existing O■ot Applicable
BTU RATE . DAs Per Plan ❑Variable DOther Value ., - ____.---.-
DF•ct` . TION/S " PE OF ALL WORK BEING DONE . - c,� l,k.tt. ` .L.7-7'r1.Jc'_
/.00 . 00
VALUE (Including labor and materials)ji_ --- -- 1
•
U... . -•-.yTr.A L•rnn Ifni protects not requiring an EIV Form) �� _-
Received Time Oct, 1. 2012 2:45PM "No. 1044
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