HomeMy WebLinkAbout0153427 - HVAC (replace furnace) CITY OF OSHKOSH No 153427
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 922 W NEW YORK AVE Owner BEVERLY HASSEL Create Date 11/07/2012
Contractor MARK WEBER HEATING&COOLING INI Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Li Oil fl Electric ETSolar [fSolid
System 151 Replace ❑ Other
Q Forced Air 1 _J Radiant Q Steam Q A/C ] _J Vent
H Electric J Lt Water Suppl. Con. Burner I
Chimney Type • Chimney A 0 Chimney B 0 Direct Vent 0 Not Applicable
Heat Loss j AsApproved 0 Existing • Not Applicable ] Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use/Nature SFR/REPLACE FURNACE, ELECTRICIAN IS SECKAR ELECTRIC **debit acct
of Work
Fees: Valuation $2,500.00 Plan Approval $0.00 Permit Fee Paid $4T50
Issued By: C=Y]Lki Date 11/07/2012
E Permit Voided Parcel Id#1203960000
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
AgentOwner
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.
11/07/2012 09:31 FAX X1001
•City of Oshkosh 0...'Division of Inspection Services P.O Box 1130
Oshkosh,WI 54903-1130
Phone(920)236,-5050 Cif HKO/H
t'F�x (92())236-50B4 6t. TI 13 WARLR
HVAC PERMIT APPLICATION
All information after bold categories must he provided.
Incomplete applications will not be processed.
• Application(s) and fee(s)can be brongnt to City 1'lall,Room 2415 or mailed to Intipoction Services',PO Dox 112k,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
f ' c are , c
OR
1a for pal tictpatt»g iL•tllg P.witit eB 4Wawl System anc1 17ar_e adequate jirnjdx, che'..Ji.1mi
dam,,nt, rant this_j2r Dees;ed till.ak wr .c
':* Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion- t:
JOB ADDRESS _
OWNER__ ACI-V A -.
CONTRACTOR_y`(.`4Z?o/L4 "' .-=—"..
CHECK f>?I ALL APPLICABLE
USE CATEGORY
��,,��--'Ng1e Family °Duplex ❑Multi-Family Mental °Commercial Clindustrial
ham'
FUEL Ls C ric CSolid SYSTEM ❑New
OI place
soil Molar 0Other ..._
TYPE I. OCor�.Burner`.ct Pad Air ❑Radiant OSteam CIA/C 13 Vent °Electric 01-Iot Water DSupp
IS CHIMNEY BEING LINED A.,. DYes -LINER SIZE _ &MANUFACTURER_.—.- -
Note: All chimneys shall bo sized por the,i.Tt.1's being vented.
A ❑Chimney B ❑Direct Vent ❑Other
C:I�ITIVINEY 'FYI'l�% pNot Applicable
HEAT LOSS Atimney
Approved ❑Existing ONot Applicable
_, --�-- �~--
ETU RATE . DAs Per Plan OVariable 'DILL
SING DUNE / :AT' ' ), -- . .f C
Cr�TION I SCOPE OF ALL WORK BEING D- ff'7rr �� .r_
�a'a_00
VALUE ()induding labor and materials)$_,_ ...°"-
r..r..n 'for nrniects not requiring on EXV Form)_�?'Y -�'!�rI -.�—"'.
Receiaed TimeX�Nov. 7. �r2012� 9: 24AM No. 1554 0