HomeMy WebLinkAbout0154396 - HVAC (furnace) el) CITY OF OSHKOSH No 154396
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1910 EVANS ST Owner CHARLES A/MARILYN J PERRY Create Date 02/11/2013
Contractor MARK WEBER HEATING&COOLING IN' Category 500-Residential-Heating&Ventilating - Plan
Inspector John Zarate _
Fuel ✓ Gas Oil a Electric -1 ❑ Solar ] Solid 1
System ❑ New - 1 Q Replace ❑ Other 1
1_1 Forced Aire Li Radiant 1 Steam E1PJC Vent
❑ Electric Hot Water j Juppl. Con.Burner
Chimney Type i0 ChimneyA • Chimney B O Direct Vent 0 Not Applicable 1
Heat Loss As Approved O Existing 0 Not Applicable Value
BTU Rate 0 As Per Plan O Variable • Other - I Value
Use/Nature MULTI-FAMILY(1935 GROVE ST APT#4)/REPLACE EXISTING FURNACE,ELECTRICIAN IS SECKAR ELECTRIC "debit acct
of Work
Fees: Valuation $2,200.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: 31'1'\JiiDate 02/11/2013
❑ Permit Voided I 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.
02/10/2013 10:40 FAX
City of Oshkosh
Division of Inspection Services U1001
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone(920)236-5050 r��OS�
Fax (920)236-5084 Of
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 permit(s)will result in fees being doubled or$100.00 plu:
normal permit fee, which ever is greater.
If you are a contractor participarink in the Permit 1'V Account System and have adequate funds, check 7
if you wont this processed through your account g'
**Advisory-For applicable projects, an Electrical Installation Verification(ElV)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 o plet on.IV when such is required,will not be
processed for Permit Issuance -*-Z L I D if
DATE
JOB ADDRESS. /93:S -
OWNER [ ~ —
CONTRACTOR 4r _ - 4_41P1, at AI x . •
CHECK 10 ALL APPLICABLE
USE CATEGORY
[aSingie Family CDuplex -.,,ulti-Family i'i• ental 7Commercial alndustrial
FUEL 1 il -
SYSTEM ONew place
C70 l7Electric ❑Solid ❑Other --
°Solar i1
TYPE 1 ❑Con.Burner Air ❑Radiant OSteam DA/C OVent ❑Electric ❑Hot Water ❑Supp .
Y BEING LINED ]Yes -LINER SIZE______&MANUFACTURER
IS CHIMNEY Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chin,ncy A ,himney B ❑Direct Vent ❑Other
HEAT LOSS DAs Approved ❑Existing ❑Not Applicable
BTU RATE CI As Per Plan ❑Variable ❑Other Value
DE -•IPTION/SCOPE OF ALL WORK BEING DONE
VALUE (Including labor and materials) $ 0
ELECTRICAL CONTRACTOR(for projects not requiring an E1V Form) 'GPJ9l'\
Received Time Feb. 10, 2013 10: 33AM No. 2291