HomeMy WebLinkAbout0153779 - HVAC (furnce) (1) CITY OF OSHKOSH No 153779
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 414 STERLING AVE Owner WALTER JUEDES TRUST/SUSANNA LAST Create Date 11/30/2012
Contractor MARK WEBER HEATING&COOLING IN' Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel H Gas I ❑ Oil Electric Q Solar 1 ❑ Solid
System ❑ New 0 Replace 1 ❑ Other
Forced Air II Radiant ❑ Steam ❑ A/C iiiint
❑ Electric Hot Water H Suppl. ❑ Con. Burner
Chimney Type 0 Chimney A O Chimney B 0 Direct Vent 0 Not Applicable
Heat Loss • As Approved O Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other l Value
Use/Nature SFR/REPLACE FURNACE, ELECTRICIAN IS SECKAR ELECTRIC **debit acct j
of Work
Fees: Valuation , 1$2,400.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: < n� Date 11/30/2012
❑ Permit Voided Parcel Id#1003870000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1075 ISLAND ESTATE CT OSHKOSH WI 54901 -1341 Telephone Number 235-1523
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing, Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
11/30/2012 05:53 FAX X001
city of 03likosl+
Division of inspection Services
P.O. Box 1130
Oshkosh, WI 54903.1130
Phone(920)236-5050 �l1x (920)236-iUt1r� ' E V.,ATI
HVAC PERMIT APPLICATION
All inforuteition after bold categories must be provided. •
Incomplete applications Will not he processed.
• Appliention(s) and fee(s) eats be brought to City 1111,Room 205 or made&&to Inspection Servic05.,11O'Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or$+100.00 plus tl
normal permit tee, which ever is greater..
U
+ m c re c 22 ra a i . i sar11P.--�—
P,5;1 tl+if F CFsu(l7r System and have-1aCSiate ftliL1 (1�CCls►
l 0 I
woo l (II 1Lw.0c8x.s.Lejl '-',gIL1' vim• crccv cnr ).
" -L:or applicable projects, an Electric:ai Installation Verification(EI'V)form, signed by the Electric
Advi y.o xy
Contractor or Homeowner(for installations allowed to hoa an ElV when 9truh is required,�wi 1 not b�tted
LO Applications submitted without with the permit application. Al►p
processed for Permit Issuance and will be returned for completion. DAT1: //` -:/` GVj.. .
JOB ADDRESS OWNER._ 1,J3 Y.Ecrl. 0 0=6
CHECK Fid ALL APPLICABLE
USE CATEGORY
*Ingle Family ppupiex QM uiti-Family ❑Ketttl ❑Cotrrietcial GYndustrill
FUEL as p CSolid SYSTEM aNew } lace
L0C pSolar ClOther ___. ____
_
TYPE DStettns DA/C; LlVant OBleotric 0l-lot Water OSuppl. ❑Con. Burner
LCCCI Air ORadlattt
Yes -LINER SI'LI�._____-.__.:��MA.M.IFAC'1•UliT:li,�.—.--.�=-�
IS CHIMNEY BEING LINED„lo 1=11.
Note: All chinmuy%shall be sized pot Auto Y3TU'%beiNg vented. ['pireet Vent C]Otlter
��kittsney A OChisnuey Dir Applicable
IlE T LOSS I Y1'I, CDAs Approved DExisting _._ �_
zxTU loss °Other Value_____— •-- --
O�,s Per flan (]Variably --
s W0121�BEING DONE - _
c WTION/SCOPE OF ALL .r--------
_______----_____________. ,--27--wo ,0 c._..) .
VAE(Including labor and inntcriais) $_
I.:U Y
,7--..'Vats not reduiring uu►Ely Form). .-_, .� -�"" r -
Received Ti�N Nov. 30...1.2012�" 5; 47AI�1'No. 1798
ti�w