HomeMy WebLinkAbout0154295 - HVAC (furnace) 0 CITY OF OSHKOSH No 154295
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1332 MENOMINEE DR Owner THOMAS J BECK Create Date 01/29/2013
Contractor MARK WEBER HEATING&COOLING IN Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel 11 Gas Oil --; C7 Electric U Solar Solid J
System n
New 1 1 Replace I fJ Other
U Forced Air _I Radiant I u Steam Li NC Vent
i
Electric J Hot Water U Suppl. I Con. Burner 1
Chimney Type p Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use/Nature SFR/REPLACE EXISTING FURNACE **debit acct 1
of Work
Fees: Valuation ` $2,800.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: W Date 01/29/2013
❑ Permit Voided I Parcel Id#1513320000
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 09:52 FAX t1001
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh,WI 54903-1130 �_�O ,
Phone(920)236-5050
Fax (920)236-5084 ON THE W A F.
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.
contra •r ,ar 'ci atinf -, the Permit ee count S s .m and h.ve .'de• , ate un heck er
j u are-�
' ou went this •rucessed thro . h uur 'tint
**Advisory-For applicable projects, an Electrical Installation performed Verification horneow�er)must be submitted cal
Contractor or Homeowner(for installations allowed
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. l�� 11
DATE / /
JOB ADDRESS I ; 2, 2-. r`dt'DOO
OWNER /6 / = _1
CONTRA.CTOR
CHECK B7 ALL APPLICABLE
USE CATEGORY °Rental ❑Commercial ❑Industrial
AS.ingle Family ❑ ❑
Duplex Multi-Family
SYSTEM ONew ,eplace
FUEL - DElectric L7Solid ❑Other
DOiI ❑Solar
TYPE
, ,mod Air ❑Radiant OSteam ❑A/C ❑Vent. DElectric ❑llot Water DSuppl. OCon.Burner
iS CHIMNEY BEING LINED ONo DYes -LINER SIZE
&MANUFACTURER,
Note:Ali chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChimney A OChimney B irect Vent ❑Other
HEAT LOSS DAs Approved ❑Existing °Not
Valuable
BTU RATE DAs Per Plan OVariable
DESC I' ION/SCOPE OF ALL WORK BEING DONE ..Id ' • -
fin'
A la. •
VALUE(Including labor and materials)
ELECTRICAL CONTRACTOR(fur projects not requiring an Ely Form)
07/07
Received Time Jan. 29. 2013 9:45AM No. 2192