HomeMy WebLinkAbout0154236 - HVAC (replace furnace) 0 CITY OF OSHKOSH No 154236
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 309 WAUGOO AVE Owner RAPALA LLC Create Date 01/22/2013
Contractor MARK WEBER HEATING&COOLING IN Category 500-Residential-Heating&Ventilating _ Plan
Inspector John Zarate
Fuel [J Gas J L Oil C Electric ] Solar 71 n-Solid J
System 7 New 0 Replace I ❑ Other _
Forced Air 1 Radiant Fiream U NC 1 11 I Vent
.,
Electri c J J Hot Water j Suppl. —I 0 Con. Burner j
Chimney Type iC Chimney A 0 Chimney B C Direct Vent • Not Applicable
Heat Loss C As Approved _ CExisting • Not Applicable I Value
BTU Rate 0 As Per Plan C Variable • Other I Value
Use/Nature DUPLEX/REPLACE FURNACE, ELECTRICIAN IS SECKAR ELECTRIC **debit acct
of Work
Fees: Valuation $2,300.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: 11/G� Date 01/22/2013
❑ Permit Voided Parcel Id#0200350000
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.
01/21/2013 15:48 FAX Z001 City of of o
Division of Inspection Services
P.O.Box 1130
Oshkosh, WI 54903-1130
401.
Phone(920)236-5050
Fax (920)236-5084 O1HKOIH
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 549034128. Commencing work without permit(s)will result in fees being doubled or $100.00 plus the
normal permit fee,which ever is greater.
OR •
• are a contractor artici•atin_ in the Permit ee A _ ` /it S stun and hay . a - . . . . •ek he
if you want this procgsed through your account I
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE //7i 3
JOB ADDRESS ;*-1�1 * _ - A— A. .•
^
OWNER R. -P c4 f C
CONTRACTOR /4--7,9-, ,,( A7-'t'c
CHECK H ALL APPLICABLE
USE CATEGORY
❑Single Family Duplex ❑Multi-Family igkotal Commercial ❑industrial
FUEL Gas ❑Electric ❑Solid SYSTEM ❑New Replace
❑Oil ❑Solar ❑Other
TYPE
+efced Air ❑Radiant ❑Steam ❑AJC CJVent ❑Electric ❑Hot Water ❑Suppl. ❑Con.I3urner
IS CHIMNEY BEING LINEDAo ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B Aireet Vent C]Other
HEAT LOSS 0 A Approved ❑Existing ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable ❑Other Value
DES -'.r TION/SCOPE OF ALL WORK BEING DONE d?-6-A. (riC 15 771.
- L44 /A),771 fix,/
VALUE(Including labor and materials)$ D, O
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07
Received Time Jan. 21. 2013 3:41PM No, 2140