HomeMy WebLinkAbout0154060 - HVAC (furnace) CI) CITY OF OSHKOSH No 154060
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 406 W 10TH AVE Owner NANCY L MILLER Create Date 12/28/2012
Contractor MARK WEBER HEATING&COOLING IN Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel U Gas H Oil Electric H Solar I Solid
System 0 New I Q Replace 0 Other
0 Forced Air Radiant 1 Steam 1 0—NC ] Vent
Olectric 1 H Hot Water [OSuppl. I H Con. Burner
Chimney Type 0 ChimneyA 0 Chimney B • Direct Vent 0 Not Applicable
- —
Heat Loss 0 As Approved 0 Existing • Not Applicable I Value
BTU Rate As Per Plan 0 Variable • Other Value
Use/Nature SFR/REPLACE EXISTING FURNACE, ELECTRICIAN IS SECKAR ELECTRIC **debit acct
of Work
Fees: Valuation $2,600.00 Plan Approval $0.00 Permit Fee Paid $49.00
Issued By: ftt--7 Date 01/02/2013
Permit Voided I Parcel Id#0906290000
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.
12/27/2012 20: 20 FAX 002
40.0 40
City of Oshkosh
Division of Inspection,Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)3 - 080 O J-KO fI
Fax (920))236 6-55084 4 n
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 permits)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
I .0 are a c•n rract•r •articl.alin: / he Permit j Account stem and ve ade uate fund,, check here
if you want this processed through yp_tir account
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
�
DATE �l
JOB ADDRESS �is 4/ /e
OWNER 4 A i(fl nil-6671
CONTRACTOR ..ddied ArrAla
CHECK 10 ALL APPLICABLE
USE CATEGORY
f4Sing]e Family ❑Duplex ❑Rental ❑Commercial ❑Industrial
FUEL Qas ❑Electric ❑Solid SYSTEM ❑New ,1Replace
❑Oil ❑Solar ❑Other
E
Forced Air DRadiant ❑Steam DA/C ❑Vent DElectric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED o DYes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized ier the BTU's being vented.
CHIMNEY TYPE ❑Chimney A °Chimney B . Direct Vent ❑Other
HEAT LOSS ❑As Approved DExisting ❑Not Applicable
BTU RATE DAs Per Plan 0 Variable ❑Other Value -,
DESCRIPTION/SCOPE OF ALL WORK BEING DONE •&� R_.)‘
VALUE(Including labor and materials)$ 6. , O
n
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) S`'C'''' "\- ` S
07/07
Received Time Dec. 27. 2012 8: 12PM No. 1992