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HomeMy WebLinkAbout0153179 - HVAC (replace furnace) CITY OF OSHKOSH No 153179 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 737 DIVISION ST Owner WALTER D SUNDQUIST JR Create Date 10/25/2012 Contractor MARK WEBER HEATING&COOLING IN! Category 500-Residential-Heating&Ventilating Plan Inspector John Zarate Fuel U Gas Oil 1 U Electric ErSolar ❑ Solid System (l New 0 Replace _- Li Other Forced Air J Radiant _ Steam J A/C Vent ❑—Electric ErHot Water ❑ Suppl. at-on. Burner Chimney Type 0 Chimney A Chimney B • Direct Vent 0 Not Applicable Heat Loss 0 As Approved O Existing • Not Applicable Value BTU Rate As Per Plan Q Variable 9 Other Value Use/Nature SFR/REPLACE FURNACE, ELECTRICIAN IS SECKAR ELECTRIC **debit acct of Work Fees: Valuation $1,200.00 Plan Approval $0.00 Permit Fee Paid $28.00 Issued By: Date 10/25/2012 ❑ Permit Voided I Parcel Id#1004510000 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. 10/24/2012 19:49 FAX 0 001 City of Oshkosh Division of Inspection Services P.O. Box 1]130 Oshlcosit,WI 54903-1 130 Phone(920)236..5050 vii (9 0)236-30ri4 �H ON Tl-I W.11t\ A ER HVAC PERMIT APPLICATION All information alter bold categories must be provided. Incomplete applications will not be processed. • Appilealion(s) and fee(s) c:ntbebroil slit to City'ha11,'Skornn2(. cyrmniledtoingructioilServiees,PO'box 1128, Oshkosh WI 54903-1128. Commencing work without perrnit(s)will result in fees being doubled or$100.00 plus the normal permit fee, which ever is greater. OR if yfru rrrc jt s of actor p�irlicipatlu _Elul Permit cut e r r1 `,stern curd,huve r ytate jirrtrls, (glitch mime IL.roitwant thrl,LpLacessed l,r'ough r r7 r ccuan[ l "Advisory-For applicable projects, an Electrical Installation Verification(ETV)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 ELY when such is required, will not be processed for Permit Issuance and will be returned for completion. .. •.TOI3 ADDRESS — 7flu OWNER SL 1.1i r_r------. . CONTRACTOR ?.(/-4u-2'3 ;4) tZc -eat,, .= CHECK 0 ALL APPLICABLE USX CATEGORY Pigingle Family D1)uplex OMulti-Family °Renlal DCoinrnercial OIndustrial FUEL as °Electric °Solid SYSTEM ONew efeffkspiaco ❑Oil °Solar ❑Other^___. ._. TYPE >' iced Air ©Radiant ❑Steam DA/C ©Vent IDElectric Dilot Water OSuppl. Clem. Burner IS CHIMNEY BEING LINED Ap DYes - LINER SIZE_,_ (gr.MANTJFACTURER _ - Note: All chimneys shall be sized per the BTU'a bettls vented. CHIMNEY TYPE yin ney A °Chimney B Area Vent OOther HEAT LOSS LIAs Approved ❑Existing ❑Not Applicable BTU RATE ' DAs Per Plan DVariable DOther Value_.,_-- .T - DF.Se��'ION/SCOPE Olt ALL WORK BEING DONE i' -" 41. at-5_ __ - ! � i �C. G�-e\AM-C<_kJ ltrZl-A- ! )el-i r 6.-- __ ._ —_. • /�4&e ,off VALUE(Including labor nod materials) _ . . . .__._-- _ . p_...� t -- tot requiring an EIV Form)_ $ em ..--_------. Received. Time;iOct, 24. N2012c 7;43PM' No. 1389 -M 0