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0152860 - HVAC (runace)
0 CITY OF OSHKOSH No 152860 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2102 FAIRVIEW ST Owner REINHARD O/MARYA SCHMIDT Create Date 10/10/2012 Contractor MARK WEBER HEATING&COOLING IN Category 500-Residential-Heating&Ventilating Plan Inspector John Zarate Fuel ✓j Gas ❑ Oil J n Electric Solar J Solid System E New Q Replace 1 ❑ Other HZ] Forced Air u Radiant J Steam ❑ A/C Vent J Electric i J Hot Water Suppl. L j Con. Burner Chimney Type 0 Chimney A O Chimney B • Direct Vent O Not Applicable Heat Loss b As Approved O Existing • Not Applicable Value BTU Rate 0 As Per Plan O Variable • Other Value Use/Nature SFR/REPLACE FURNACE, ELECTRICIAN IS SECKAR ELECTRIC "debit acct of Work Fees: Valuation _ $3,000.00 Plan Approval $0.00 Permit Fee Paid _ $55.00 Issued By: arnLitj Date 10/10/2012 ❑ Permit Voided Parcel Id#1514814100 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. 10/09/2012 14:08 FAX 002 City of Oshkosh Division of Inspection Services P.O.Box 1130 4111 P")1141 Oshkosh, WI 54903-1130 Phone(920)236.5050 . Fax (920)23G-50M �-- N FH Nn :1l HVAC PERMIT APPLICATION All information alter bold categories must be provided. • Incomplete applications will not be processed. • Application(s)and fee(s) Can be brought to City'HMI,Rotnn 20S or mailed to Inspection SeiwiceS,PO Box 112K, Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees boing doubled or$100.00 plus the normal permit fee, which ever is greater. OR I/you are,_ conpraetor 1Zal'tic►vut►►ig In-the Perini! ei scar___ S_Lstenr _ her ma elr_ata firnds, ches:k hue ifyoi' want tills procened throu.gh tor nccOunt bLI ""'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 LW when such is required, will not be processed for Permit Issuance and will be returned for completion. . - 1 .• DA'f-1'v!t0 ��r f � . JOB ADDRESS ._. 2L&- _ r\-\3 OWNER .. -.1 ' 5Q.AAi-e-li'tb CONTRACTOR ertir' . , 7c' . '• _ "it,k. CHECK El ALL APPLICABLE USE CATEGORY 'ngle Family ODuplex OMulti-Family ❑Rental °Comunercial ©Industrial FUEL ax ❑Elect► ic 0 Solid SYSTEM ❑New _. oplacc ❑Dii °Solar ©Other _ —^--�-• TYPE cod Air °Radiant °Steam °A/C ❑Vent °Electric OHot Water OSuppl. OCon. Burnor °Yes -LINER.SIZ1 &MANUFACTURER .�---- )CS CHIMNEY BEING LINED ,,_- – Note: All chimneys shall be si'ict pe:the BTU's boing vented. CHIMNEY TYPE r- thiumey A DChimney B Stirect Vent °Other HEAT LOSS OAs Approved ❑Existing ON(teApp icable BTU RATE • DAs Per Plan DVariablc; DFgrf rnTION i SCOPE ALL WORK BEING DO11E_ _:^P 7 rt. g• ibe - .c A U A-) - VALUE(Newlin labor and materials) -.�� .r�n rrp� m elects not requiring an EIV Form) � i�'� ��_ __.�----- Received Time 10ct. 971-27 72 2: 01PM No, 1171 0