HomeMy WebLinkAbout0153352 - HVAC (replace furnace) CITY OF OSHKOSH No 153352
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2009 SHERIDAN ST Owner RONALD H/JAYNE K DAVIS Create Date 11/05/2012
Contractor MARK WEBER HEATING&COOLING!NI Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate -_
Fuel 1:11 Gas ❑ Oil Electric ❑ Solar 1 Solid
System ❑ New I2 Replace 1 ❑ Other
✓ Forced Air Radiant Steam A/C Vent
❑ Electric ❑ Hot Water ❑ Suppl. ❑ Con. Burner
Chimney Type ChimneyA ❑ Chimney B ❑ Direct Vent • Not Applicable
Heat Loss As Approved ❑ Existing • Not Applicable Value
BTU Rate 10 As Per Plan 0 Variable • Other Value
Use/Nature SFR/REPLACE FURNACE, ELECTRICIAN IS SECKAR ELECTRIC "debit acct
of Work
Fees: Valuation $2,10
.0_.00 Plan Approval $0.00 Permit Fee Paid $41.50
U + + I
Issued By: 1t" Date 11/05/2012
❑ Permit Voided Parcel Id#1215410000
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.
11/03/2012 14:20 FAX a 002
City of Oshkosh
Division of Inspection Services
P.O.Box.1130
Oshkosh, WI 54903-1130
Phone(920)236••S050
Pax (920)236-5084 --
ON 1HE ' ∎''-ft
HVAC PERMIT APPLICATION
All itltbrtntttion(titer botcI categories must be provided. •
incomplete applications will not be processed.
• Application(s)and fee(s) eanbe broubin to City Ha15,'Wocrrn'MS ol'm76,1e6 to Irospection Services,'PO Box 112x,
Oshkosh WI 54903-1128. Couuiiencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
MY"' ara t eoOR cft r r t i ' t n . In.the Perna( csC , r Lt er » ,hews acleclvare 'r c! hNch here
If yjt?! want_JJ _Lpeepee,Yyed h ru ►!r xau accoan
-For applicable projects, an Electrical Installation Verification(ElY)form, signed by the Electrical
�:'r Advisory I 1 the homeowner)must be submitted
contractor or Homeowner(for installations allowed to be performed by
the permit application. Applications submitted without an EXY when such is required, will not be
with P � �-
processed for Permit Issuance and will be returned for completion.
,1013 ADDRESS r. -a-`^.- . .
OWNER_ -• fi5d -- .. y ;,
CHECK R9 ALL APPLICABLE
�Iex ❑Niulti-Family C1ltenial t]Cw1�lnetci�tl ❑lodustrial
USE CATEGORY
�it161e Family C1llul
FUEL s ]Electr
ic ❑Solid SYSTEM QNow �eilnco
DOil ❑So1flr ❑Other _ __
— '
`l' r CJSteam OA/C: ❑Vent DElectric Clot Water OSuppl. Moo.Burnor
l cod Air CiRadtaut &MANUFACT'URZ;R,..�,.�__.�
(i<L,INED o f>Ycs -LINER SIZE___--_
IS CHIMNEY BEING ,the L'�U'a being vented-
Note: All eltiinmeyg shell siacd *beet Vent 00ther
�,�lti iloy A. OChimney B DNot Applicable
CHIMNEY TYPE ;-.,A roved ❑Esistittg -_�—�
YiTU LOSS ❑AS Approved DV 0Other Vnlue______-
❑AsPerPlan lC' �� C,RATE .
SCOPE Ole ALL WORK BEING>)ONE- _�� ------—--r-
pPc� LX'TION J
,�rtc ----L--2-127
VALUE (Including labor and materials) `t
R e c e i v e d T i m e20_0.v. 3. 02012A 2: 14 PM'ON p.r j 5 1s not requiring an