HomeMy WebLinkAbout0154621 - HVAC (furnace) 0 CITY OF OSHKOSH No 154621
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1214 1216 COOLIDGE AVE Owner MICHAEL K/CYNTHIAA KROHN Create Date 03/05/2013
Contractor MARK WEBER HEATING&COOLING IN Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel U Gas L 0 i Electric 1 U Solar ESolid I
System New 0 Replace ❑ Other
u Forced Air [Radiant Steam u A/C 0 Vent
J Electric L1 Hot Water I El Suppl. Et-on. Burner
Chimney Type ChimneyA 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss • As Approved 0 Existing • Not Applicable Value
BTU Rate �s Per Plan 0 Variable • Other Value
Use/Nature DUPLEX(1214)/REPLACE FURNACE, ELECTRICIAN IS SECKAR ELECTRIC **debit acct
of Work
Fees: Valuation 2,600.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: (J n Date 03/05/2013
0 Permit Voided Parcel Id#1602980000
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.
03/04/2013 19:28 FAX El001
City of Oshkosh
•
Division of Inspection Services
P.O. Box 1 130
Oshkosh, WI 54903-1130
Phone(920)236-5050 �������
Fax (920)236-5084
' 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 112E
Oshkosh WI 54903-1128. Commencing work without pvrmit(s)will result in fees being doubled or$100.00 pi
normal permit fee, which ever is greater.
OR
I ,ou are contractor oarticivatine in the Permit ee A 'i em and have de ua r ds check
if vau watt this pr ccessed rough your occo n i
**Advisory-For applicable projects, an Electrical Installation Verification(EIV) form, signed by the Elec
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitte
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,�7,�
JOB ADDRESS .
OWNER /lb l/-t= `
CONTRACTOR I/ 4 -
CHECK Pi ALL APPLICABLE
US CATEGORY
%.inglc Family ,uplex OMulti-Family DRental ❑Commercial ❑Industrial
FUEL as ❑Electric ❑Solid SYSTEM ONew Alt eplace
❑Oal (Solar . ❑Other
TYPE
'orced Air ❑Radiant OSteam ❑A/C OVent DElectric 01-lot Water ❑Suppl. DCon. Burner
IS CHIMNEY BEING LINEDMo ❑Yes -LINER SIZE &MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ireet Vent ❑Other
HEAT LOSS DAs Approved ❑Existing 0 of Applicable
BTU RATE C]As Per Plan C]Variable ❑Other Value
DESC TION/SCOPE OF ALL WORK BEING DONE P- Gd " ' t S7)
.. dr
VALUE (Including labor and materials) $ 2d •�0 -
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) . 1, ��
Received Time Mar, 4. 2013 7: 20PM No, 2480