HomeMy WebLinkAbout0154296 - HVAC (furnace) 0 CITY OF OSHKOSH No 154296
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 847 W 5TH AVE Owner BETTY REDEMANN Create Date 01/29/2013
Contractor MARK WEBER HEATING&COOLING IN Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel Q Gas I Oil Li Electric J Solar I ( Solid
System n New [ 1 Replace n Other
Forced Air I J Radiant J Steam Li NC J Vent
Electric 7 Hot Water Suppl. j Con. Burner
Chimney Type Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss p As Approved O Existing • Not Applicable Value
BTU Rate 0 As Per Plan O Variable • Other Value
Use/Nature SFR/REPLACE EXISTING FURNACE **debit acct
of Work
Fees: Valuation $2,800.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: TrAV3 Date 01/29/2013
❑ Permit Voided Parcel Id#0604450000
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.
01/29/2013 09:53 FAX i721002
Division of
Division of Inspection Services
P.O.Box 1130
111061"
Oshkosh, WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 Qf-Ka/H
ON THE wh1F,R
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$100.00 ping
normal permit fee, which ever is greater.
OR
If you area contractor participating in tie PermaAe Account Systenn and have adequate funds. check I
if you { ant thlsprocessed throvph vour account
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form,signed by the Elect)
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE 1/2...1/ /6$
JOB ADDRESS qe--t7 -LA_J 5'111-
_OWNER A •fir .. .A
CONTRACTOR 1 i1`�2�(to �_ 'L_ CI-7r
c-
CHECK® ALL APPLICABLE
USE CATEGORY
ftigingle Family ODuplex ❑Multi-Family C]Rental ❑Commercial ❑Industrial
FUEL f as °Electric ❑Solid SYSTEM ONew eplace
DOil DSolar ❑Other
TYPE
pkarced Air ❑.Radiant ❑Stearn DA/C °Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED' Jo ❑Yes - LINER SIZE &MAN UFACTURER
Note:All chimneys shall be sized p r the TU's being vented.
CHIMNEY TYPE CI Chimney A ❑Chimney 13 )irect Vent ❑Other
BEAT LOSS DAs Approved DExisting ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable ❑Other Value .,
DESC; "' ION/SCOPE OF ALL WORK BEING DONE ; ASA' #(4
VALUE (Including labor and materials)$ 4 ,T 50' 0 0
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
Received Time Jan. 29. 2013 9: 45AM No. 2192