HomeMy WebLinkAbout0154548 - HVAC (replace furnace) 0 CITY OF OSHKOSH No 154548
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 621 CEAPE AVE Owner MATHIAS/SANDRA SALZSIEDER Create Date 02/25/2013
Contractor MARK WEBER HEATING&COOLING IN, Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas J Erdii j H Electric Solar Solid
System n New I Q Replace ❑ Other
Q Forced Air Radiant J Steam C _ Vent
HElectric Hot Water ❑
� H � I SuPpl• Con. Burner 1
Chimney Type 0 Chimney A O Chimney B • Direct Vent 0 Not Applicable
Heat Loss ,s Approved 0 Existing • Not Applicable Value
BTU Rate As Per Plan 0 Variable • Other Value
Use/Nature DUPLEX/REPLACE FURANCE, ELECTRICIAN IS SECKAR ELECTRIC **debit acct
of Work
Fees: Valuation arnbli $2,400.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: Date 02/25/2013
❑ Permit Voided Parcel Id#0801080000
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.
City of Oshkosh
Division of Inspection Services
P.O. Box W 1130
5
Oshkosh, WI 54903-1 130
Phone(920)236-5050
Fax (920)236-5084 Of-<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 phi:
normal permit fee,which ever is greater.
OR
I ou are a contractor •artici win! in the Permit ee Account S stem and have ade•uate unds check I
if you want this processed through your 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 0/Z5// 3
JOB ADDRESS (? 1 C'- �-
OWNER /341) ,jZi DC-
CONTRACTOR /97/9K/9 & E
CHECK Fii ALL APPLICABLE
USE CATEGORY
❑Single Family Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUELS ❑Electric 0 Solid SYSTEM ❑New ,eplace
❑Oil ❑Solar ❑Other
TYPE
,orced Air ❑Radiant ❑Steam DA/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con.Burner
IS CHIMNEY BEING LINEDe❑Yes -LINER SIZE &MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChimney A ❑Chimney B ' Direct Vent ❑Other
HEAT LOSS DAs Approved ❑Existing ONot Applicable
BTU RATE DAs Per Plan OVariable ❑Other Value
DESC TION/SCOPE OF ALL WORK BEING DONE � '� 7j1€ �'T/c7l
iyP�f ' GJi 7-9-7" //i-..5-2()
VALUE (Including labor and materials) $ `7De)
ELECTRICAL CONTRACTOR(for projects not requiring an E1V Form)