HomeMy WebLinkAbout0152911 - HVAC (replace furnace) CITY OF OSHKOSH No 152911
10 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2334 GENEVA ST Owner MARK C ARNOLDUSSEN Create Date 10/12/2012
Contractor DENNIS GEHRT HEATING INC Category 500-Residential-Heating&Ventilating Plan
Inspector J ohn Zarate
Fuel ✓❑Gas I ❑Oil 1 ❑ Electric ❑Solar ❑Solid
Other Vent
System ❑ New Q Replace ❑ ❑ �
Forced Air ❑Radiant 1 L i Steam 1—A/C
❑ Electric J 0-Hot Water j ❑ Suppl. J Con. Burner
Chimney Type 0 Chimney A O Chimney B • Direct Vent O Not Applicable 1
Heat Loss 0 As Approved 0 Existing • Not Applicable Value
BTU Rate As Per Plan 0 Variable • Other Value
Use/Nature SFR/Replace furnace*All work shall comply with manf installation instructions. Cumings electric will be hooking it up.
of Work
Fees: Valuation $2,680.00 Plan Approval $0.00 Permit Fee Paid $50.50
Issued By:
Date 10/ 2/2012
4;---7 1 1
❑ Permit Voided Parcel Id#1517980000
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 an ssary approvals before - ing suc• activ.ty.
Signature �f�/- ■ ..-1,-- Date
Agent/Owner
Address 7379 CARDEN DRIVE NEENAH WI 54956 -0 Telephone Number 725-6063
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.
City o Oshkosh
Division si o In
on of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OJHKOJH
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will 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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account El
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE/0
/
JOB ADDRESS
OWNER �
7a� ! % i
� I O
CONTRACTOR //_ -"6 A*• �i
CHECK 10 ALL APPLICABLE
USE CATEGORY
inSingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL 1$Jas DElectric ❑Solid SYSTEM ❑New %Replace
DOil ❑Solar DOther
TYPE
INForced Air DRadiant ❑Steam DA/C ❑Vent DElectric ❑Hot Water ❑Suppl. DCon. Burner
IS CHIMNEY BEING LINED ❑No DYes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A DChimney B DDirect Vent ❑Other
HEAT LOSS DAs Approved DExisting ❑Not Applicable
BTU RATE DAs Per Plan DVariable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
VALUE (Including labor and materials) $
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07