HomeMy WebLinkAbout0154179 - HVAC- (furnace) 0 CITY OF OSHKOSH No 154179
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2120 BOWEN ST Owner CHARLES A/MARILYN J PERRY Create Date 01/1.6/2013
Contractor MARK WEBER HEATING&COOLING I14 Category 510-Ind.&Comm-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas I ❑Oil LiEjeic ❑ Solar Q Solid
System ❑ New I 0 Replace I [❑ Other J
Forced Air 0-Radiant J J Steam ❑-A/C Vent
H Electric Hot Water
J [fuPPI. � Li Con. Burner 1
Chimney Type Chimney • Chimney B O - -
Direct Vent O Not Applicable
Heat Loss - - - - - - - -
As Approved O Existing • Not Applicable 1 Value
BTU Rate
As Per Plan 0 Variable • Other Value
Use/Nature MULTI-FAMILY(APT 5)/REPLACE FURANCE,ELECTRICIAN IS SECKAR ELECTRIC**debit acct —
of Work
L
Fees: Valuation $2,400.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By:
Date 01/16/2013
❑ Permit Voided 1 Parcel Id#1522830000
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.
01/15/2013 13:11 FAX Lj001
City of Oshkosh
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
11110611V
Phone(920)236-5050
Fax (920)236-5084 01HKOJH
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 ou ar • tractor •artic' • t the Permit ee Account S stem and ha nds check here
if you want this processed through your account f
**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. ///
DATF/6 //3
JOB ADDRESS , "7/Z:190 A ) ,3q1
OWNER CI7 ,L f J ■
CONTRACTOR l7
CHECK Eli ALL APPLICABLE
USE CATEGORY
ogle Family ODuplex ❑Multi-Family ❑Rental ❑Commercial DIndustrial
FUEL "'as— DElectric ❑Solid SYSTEM ❑New ep+laee
DOH Molar ❑Other
TYPE
.e,littoreErAir DRadiant OSteam ❑A/C OVent DElectric ❑Hot Water ❑Suppl. ❑Con.Burner
IS CHIMNEY BEING LINED ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A Aithimney B ❑Direct Vent DOther
HEAT LOSS DAs Approved ❑Existing ❑Not Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCiRM TION/SCOPE OF ALL WORK BEING DONE ./.1( )7/4:— ZM
/`Zr1/1J "/.0_,177A /9- z/ E_
VALUE (Including tabor and materials) $ 6 'o cJ
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) M4 c
Received Time Jan. 15. 2013 1 : 04PM No. 2095 07/07