HomeMy WebLinkAbout0154488 - HVAC (furnace) (9 CITY OF OSHKOSH No 154488
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1910 EVANS ST Owner CHARLES A/MARILYN J PERRY Create Date 02/19/2013
Contractor MARK WEBER HEATING&COOLING IN! Category 510-Ind.&Comm-Heating&Ventilating Plan
Inspector John Zarate
Fuel rias — H Oil Li Electric Erolar Solid j
System 1 New I Q Replace D.Other
j Forced Air J _.j Radiant 1 Q Steam A/C Q Vent
j Electric H Hot Water H Suppl. j Con. Burner 1
Chimney Type 0 ChimneyA • Chimney B 0 Direct Vent O Not Applicable
Heat Loss 0 As Approved O Existing • Not Applicable I Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use/Nature MULTI-FAMILY(1905 GROVE ST APT#4)/REPLACE EXISTING FURNACE, ELECTRICIAN IS SECKAR ELECTRIC **debit acct
of Work
Fees: Valuation j $ ,200.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: ) Date 02/19/2013
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.
102/18/2013 17:34 FAX 2001
City of Oshkosh
Division of Inspection Services
P.0_ Box 1130
(D
Oshkosh, WI 54903-1130
Phone(920)236-5050 uI
Fax (920)236-5084 I I
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.
OR
If you are a c traetor a tic,.win_ in t e Pertn't e aunt S's e,n amyl have adequate fund chat l.
i • want this • • cess-d thy' -h oar acco t
**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, //f
JOB ADDRESS /TO 5 &r1 ,Pr-*- c/
OWNER ei
CONTRACTOR ' , , ,-. . . AL ' - 4/6
CHECK QI ALL APPLICABLE
USE CATEGORY
OSingle Family ❑Duplex (iulti-Family ,Rental El Commercial ❑Industrial
ias • ❑Electric DSolid SYSTEM ['New lace
FUEL
DOil DSolar ❑Other
TYPE
iced Air DRadiant ❑Steam ❑A/C ❑Vent ❑Electric 01-lot Water ❑Suppl. ❑Con.Burner
IS CHIMNEY BEING LINED 12kiccElYes -LINER SIZE &MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE OChimney A OtkUraney B ❑Direct Vent ❑Other
HEAT LOSS DAs Approved ❑Existing ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable DOther Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
/1 s i re a" 'a'.t/("
VALUE (Including labor and materials) $ CZ'1 )SLOG)
ELECTRICAL CONTRACTOR(fur projects not requiring an E1V Form)9t't - -
Received Time Feb. 18. 2013 5: 27PM No. 2362 ,