HomeMy WebLinkAbout0154245 - HVAC (furnace) CI) CITY OF OSHKOSH No 154245
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1910 EVANS ST Owner CHARLES A/MARILYN J PERRY Create Date 01/23/2013
Contractor MARK WEBER HEATING&COOLING IN Category 510-Ind.&Comm-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓❑Gas _I Oil f Er Electric Lolar 1 ❑Solid
System ❑ New _ Q Replace ❑ Other
J Forced Air __I Radiant 1 Frfeam Li A/C ill Vent J
J Electric ET-lot Water 1 Suppl. 7 Con. Burnet
Chimney Type 0 Chimney A • Chimney B O Direct Vent O Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value
BTU Rate ❑ As Per Plan 0 Variable • Other J Value
Use/Nature MULTI-FAMILY(1960 EVANS ST APT#2)/REPLACE FURNACE, ELECTRICIAN IS SECKAR ELECTRIC **debit acct i
of Work
,
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: Date 01/23/2013
❑ Permit Voided Parcel Id#1514819706
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.
01/23/2013 02:55 FAX 2001
City of Oshkosh
Division of Inspection Services
P.O. Box 1130 15
illiiir 1
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 --C/H
ON MC.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 permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR •
I ou are a ntract.r •f •tici•atin- in t - 'ermit ee Accoun .' tern and have ' . .•wile unds check he -
if you wont this processed through your account 1■":-
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an ETV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE .1/47- / 3
JOB ADDRESS 9.zzn Fi -44
OWNER (,)/W77 C2�tjt- /
CONTRACTOR /'1421( Lt. )5,J72 • ,1 7
CHECK 611 ALL APPLICABLE
USE CATEGORY
0Single Family ❑Duplex aMulti-Family Dental ❑Commercial ❑Industrial
FUEL dcias . ❑Electric ❑Solid SYSTEM ❑New ffi eplace
OOil ❑Solar ❑Other
TYPE
orced Air ORadiant OSteam IJA/C ❑Vent ❑Electric ❑Hot Water ❑Stipp!. ❑Con.Burner
IS CHIMNEY BEING LINED 121110 ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A prChimney B ❑Direct Vent ❑Other
HEAT LOSS DAs Approved ❑Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Otther Value o
DESC ON/SCOPE OF ALL WORK BEING DONE R ( tle i h14 _Rr 'LID
�
h jr.r /A)/ 'TV - s1J3„) c )
VALUE (Including labor and materials)$ („9/)149,.Q D
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)_ 5 f - -,t P fi- ,'7
Received Time J1n. 23. 2013 2:48AM No, 2146 07/07