HomeMy WebLinkAbout0154792-HVAC (furnace) � CITY OF OSHKOSH No �5a�s2
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 637 WAUGOO AVE Owner GRANT P PETERSON Create Date 03/21/2013
Contractor MARK WEBER HEATING&COOLING IN� Category 500-Residential-Heating 8 Ventilating Plan
Inspector John Zarate
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Fuel ✓ Gas , Oil � Electric � Solar �Solid
System �ew � �✓ Replace _ � [] Other
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✓ Forced Air Radiant Steam I A/C Vent
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Electric Hot Water Suppl. � �Con. Bumer ',
Chimney Type ChimneyA 0 Chimney B � Direct Vent � NotApplicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature FR/REPLACE EXISTING FURNACE,ELECTRICIAN IS SECKAR ELECTRIC "'debit acct
of Work i
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Fees: Valuation $2,200.00 Plan Approval $0.00 Permit Fee Paid $62.00
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Issued By: � Date 03/21/2013
� Permit Voided � Parcel Id#0201970000
In the perFormance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 1075 ISLAND ESTATE CT OSHKOSH WI 54901 -1341 Telephone Number 235-1523
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not pertormed within two business days from the time the project is ready.
03/20/201� 16:42 FAg f�001
Ciry of Oslikosh ,
Division of I�zspection Services
P.O. Sox l 130 �
Oshkosh, WI 54903-1 i30 �
Phone(920)236-SO50
Fax (920)236-5084 , Y ,O
I-1K
HVAC PERMIT APPLICATION ON 7HE W/�TER ,
All information after bold catcgories must be provided.
Tncomplete applicatiops will not be processed. �
• App(icarion(s)and fee(s)can be brottghl lo City Hall,Room 205 or►nailed to Inspection Services, PQ I3ox 1]2E ':
Oshkosh WI 54903-1128. Commencing work without pannit(s)will cesult in fe�es beinb doubled or$l00,00 pl
no�7na1 per�nit fco, which ever is�•eater. `
OR
�,�u �r� Q,�,?nt��a�l�arlici��l� /� !he Pernri� ee c nl S�s�enr aiad v
1 � t! i �r ce,c.red tl��•o:r 1� �• eeorr�tl ¢--��9'�+�'te fi��rd,r cl�eck
'�*Ad�visory-For applicable projects, an Electiical Tnstallation Verlfiea�ion(E11�form, signed by the Elec
Contractor or Homeowr�e�(�ox installations allowed to be perfnrn�►ed by the homcowner)must be sabmitte
with the permit application. Appl�cations submitted without an EI'V'when such as�rc�nired, will not be
�rocessed for Permit Issuance and will be returned for completion.
DATE 1
.ros An��ss � �;J
O'VVNER `�� - � �
CONTRACTOJ� �Y`t�G � -�� �'�'r,
CI�CCK�!ALL APPY.XCABLE
� USr c.�T�GORX
�ngle;Fauuly ❑Duplex QNZulti-k'amily ❑Rental OComme�•ciAl ❑Industrial
FUEL �as ` ❑�lectric ❑Solid SXSTF.IV� ❑New �,�1�ace
❑Oil ❑Solar � ❑Otl�cr
E
orced Air ❑l�diant ❑Steam OA/C ❑Vent ❑Electric ❑�Iot Water ❑Suppl. OCon_Bw•ner
IS CA�IVINEY B��NC LINEA�,�fv-DYes -LINER SIZC &MANUFACTUR�R
Note:All chimneys shall bc sized per tl e B1'U's being vented.
CFiIMNEY �'XP� ❑Cliimne A ❑Chimney $ �����Vcnt ❑Otlier
HEAT LOSS ❑As App►• ved L7Existing �Not Applicable
BTU RATE OAs Per P an ❑Variable �Other'�/alu�
AFSCR TTON/SCUPE O�A VVOTtr{BE�1G DONE . ►�J(o � •�.�s4t��r/�'
. . � i
VAX.LTE(Including labur And mate als)� �oC(J`l � � �
�1,�GTRICAL CONTKACTOR(fo projects not req�tirin�ar��1V Form) ����� �-� _ _
Received Time Mar, 20, 2013 4: 35PM No, 2582
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