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HomeMy WebLinkAbout0154622 - HVAC (furnace) CITY OF OSHKOSH No 154622 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 ] ❑ Oil prtfectric U Solar Solid System ❑ New ❑✓ Replace ❑ Other J ✓ Forced Air HI Radiant Steam FFNC Vent Li Electric J j Hot Water Suppl. J FT-Con. Burner Chimney Type ChimneyA O Chimney B • Direct Vent O Not Applicable Heat Loss J As Approved O Existing • Not Applicable Value BTU Rate As Per Plan O Variable • Other Value Use/Nature DUPLEX(1216)/REPLACE FURNACE, ELECTRICIAN IS SECKAR ELECTRIC **debit acct of Work Fees: Valuation t .1$2,600.00 Plan Approval $0.00 Permit Fee Paid _ $62.00 Issued By: `5YM Date 03/05/2013 ❑ 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 Z002 City of Oshkosh • Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phono(920)236-5050 Fax (920)236-5084 OJ—<OJH 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 permit(s)will result in fees being doubled or$100.00 pl normal permit fee, which ever is greater. OR 1/ You are a contract r artici satin in lg. , Permit e. c :nrt S 'star have ad q sate funds check if you wept this processed through„ynisr account **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 subrnitte 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. I DATE 3 G LI JOB ADDRESS_ /2i (;) CO 0llC- 1 OWNER, /`1 Ck?t 14■1,6 1` CONTRACTOR CHECK Q( ALL APPLICABLE USE CATEGORY DSingle Family Duplex ❑Multi-Family ❑Rental ❑Commercial DIndustrial FUEL 1Jitfaas DElectric ❑Solid SYSTEM ['New eplace ❑Oil ©Solar ❑Other ')J Forced Air ❑Radiant ❑Steam DA/C OVent DElectric Elliot Water ❑Suppi. ❑Con. Burner IS CHIMNEY BEING LINEDo DYes -LINER SIZE &MANUFACTURER Note:All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE °Chimney A OChimney B Otirect Vent °Other HEAT LOSS As Approved Existing ❑Not Applicable . BTII RATE °As Per Plan °Variable ❑Other Value DESCRIPTION/SCOPE OF ALL WORK BEING DONE / 1.41( .457744-- . VALUE(Including labor and materials) $ 06'd() ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)wPY� Received Time Mar. 4. 2013 7: 20PM No, 2480