HomeMy WebLinkAbout0154710 - HVAC (furnace) 0 CITY OF OSHKOSH No 154710
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 354 W 20TH AVE Owner MICHAEL C RIESE ETAL Create Date 03/13/2013
Contractor MARK WEBER HEATING&COOLING IN Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel U Gas ❑ Oil Ectric ❑ Solar ❑ Solid
System ❑ New 0 Replace ❑ Other
0 Forced Air 1 J Radiant Q Steam Q A/C Q Vent
❑ Electric ❑ Hot Water ❑ Suppl. ❑ Con. Burner I
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use/Nature SFR/REPLACE EXISTING FURNACE **debit acct
of Work
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: jY1 L Date 03/13/2013
❑ Permit Voided Parcel Id#1406990000
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.
03/12/2013 18:30 FAX 01001
City of Oshkosh
Division of Inspection Services
P.O.Box 1130
Oshkosh,WE 54903-1130
Phone(920)236-5050
Fax (920)236-5084 c1-,KO.f H
ON„kg 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 I-Tall,Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permits)will result in fees being doubled or$100.00 phi;
normal permit fee, which ever is greater.
OR
{ you are a contra or da •tier • in_ in t Per , it c A unt S en, ar • have ede•u• e ands chec 1
if ypu wanl this processed thrquzh i wyr accou t
**Advisory-For applicable projects, an Electrical Installation Verification(ETV)form, signed by the Elect;
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EW when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE,)/ I2, 113
JOB AJ)DRESS, 3Sy La ; o .-
OWNER_ int i e ` ` -
CONTI2ACTOR '/ _ A Vat: ' !4' G
CHECK B1 ALL APPLICABLE
USE CATEGORY
OSingle Family DDuplex ❑Multi-Family ❑Rental ❑Commercial Dlndustrial
FUEL ,leas_: [Electric °Solid SYSTEM [New eplace
❑Oil OSolar [Other
TYPE
Forced Air [Radiant ❑Steam DA/C [Went DElectric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED/ o ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B d IZirect Vent ❑Other
HEAT LOSS DAs Approved DExistiug [Not Applicable
BTU RATE DAs Per Plan OVariable DOther Value
DESC: 1'TION/SCOPE OF ALL WORK BEING DONE,Wte-Pe iA t— £ I S F7 '
,rtr . .2.. -- 77i a , Amor— r
VALUE(Including labor and materials)$ "2 c01:9` 03
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
Received Time Mar. 12. 2013 6: 23PM No. 2523