HomeMy WebLinkAbout0154061 - HVAC (furnace) 0 CITY OF OSHKOSH No 154061
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1013-1023 MORELAND ST Owner TK RESIDENTIAL INVESTMENTS LLC Create Date 01/02/2013
Contractor MARK WEBER HEATING&COOLING IN Category 510-Ind. &Comm-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel E Gas Oil id
J ❑�_ ❑ Electric Solar l ❑ Solid 1
System ❑ New ❑ Replace ❑ Other
❑ Forced Air ❑-Radiant j J Steam ❑❑A/C ❑ Vent
❑ Suppl.
❑lectric Hot Water 1 Su I ❑Con. Burner
Chimney Type ❑-Chimney A O Chimney B O Direct Vent • Not Applicable l
Heat Loss
As Approved ❑ Existing • Not Applicable 1 Value
BTU Rate 0 As Per Plan O Variable • Other Value
Use/Nature MULTI-FAMILY(1013 MORELAND)/REPLACE EXISTING FURNACE**debit acct
of Work
J
Fees: Valuation EMI) $2,400.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: Date 01/02/2013
❑ Permit Voided J Parcel Id#1309090000
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.
12/09/2012 16:12 FAX 21001
City of Oshkosh
Division of Inspection Services
Y.O.Box 1130
Oshkosh, WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 Of��/
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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 pennit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
ou ar .! con rract.r artic 'atilt_ in the .' rmi , ccount System and have adeouate funds, check here
if you Want this • •ocess ed I r u f h I. r account 5
*'k 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. /0? Cy
DATE ( —
JOB ADDRESS®1�1", /", 2
OWNER
CONTRACTOR
CHECK gl ALL APPLICABLE
USE CATEGORY
ngle Family °Duplex ❑Multi-Family ❑Rental ❑Commercial 0 Industrial
FUEL ISiGas . ❑Electric DSolid SYSTEM ❑New M.Replacc
❑Oil Molar ❑Other
TYPE
*creed Air ❑Radiant ❑Steam C1A/C ❑Vent DElectric OHot Water OSuppl. ❑Con.Burner
•... ' •- l' ' "..,'11.•!1.._.:._. -LIMIER SIZE &MANUFACTURER
Received Time Dec. 9, 2012 4: 06P No. 1884
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