HomeMy WebLinkAbout054833 - HVAC (furnace) l CITY OF OSHKOSH No 154833
OSHKOSH HVAC PERMIT —APPLICATION AND RECORD
ON THE WATER
Job Address 15 E NEVADA AVE Owner LORI A MATSCHE Create Date 0.3/25/2013_
Contractor MARK WEBER HEATING&COOLING IN' Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel Er Gas Oil 1 E_Blectric I Solar
olid
System aNew I ■ Replace n Other
✓] Forced Air Q Radiant Steam A/C Vent
Electric Hot Water LI Suppl. _1 Con.Burner i
Chimney Type 0 Chimney Chimney 0
y B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved O Existing • Not Applicable Value
BTU Rate e
As Per Plan Variable� ab-- ---- • Other Value -- --- --- _.--
Use/Nature SFR/REPLACE FURNACE, ELECTRICIAN IS SECKAR ELECTRIC **debit acct
of Work
Fees: Valuation 2,500.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: Date 03/25/2013
Permit Voided ! Parcel Id#1505160000
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.
Received Time Mara 25. 2013 1 : 57PM No. 2600
03/25/2013 14:04 FAX [j 001
City ioOslilcosh •
•
Divi visiwn of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130 4
Phone(920)236-5050 r <01H
Fax (920)236-5084 QJ _ ,
ON THE WON:re-it
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$100.00 pl
normal permit fee,which ever is greater.
If you are a cQO�clot garlic tin in the Permit ( e Account System nd hay a •e•trate r ds c -
if You warm thb processed tIi,:ouf±h ),91 r account
**Advisory-For applicable projects, an Electrical Installation Verification(EIV) form, signed by the Elec
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitte
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion. �(ZS//3 DATE
JOB ADDRESS tilitAatiakt&
OWNER_ C$ _.. �, �.,^Z—
CONTRACTOR / " k" ,A 7 tp--0,
. .
CHECK 66 ALL APPLICABLE
USE CATEGORY
Single Family DDuplex ❑Multi-Family ❑Rental ❑Commercial DIndustrial
FUEL ❑Electric ❑Solid SYSTEM DNew ,ace
as
DOS (1Snlar . Dnther
T 'E
P• • ced Air ['Radiant ❑Steam ❑A/C DVent °Electric 01-lot Water DSuppl. 0Con.Burner
r
IS CHIMNEY BEING LINED ❑Yes -LINER SIZE_ &MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CONEY'TYPE ❑Chimney A ❑Chimney B irect Vent DOther
HEAT LOSS DAs Approved °Existing UNot Applicable
BTU RATE DAs Per Plan ❑Variable DOther Value
DE RIPTION/SCOPE OF ALL WORK BEING DONE
-A ...�" _ AO' al `1�i M.._..
VALUE (Including labor and materials) ,2 6 `6 "
ELECTRICAL CONTRACTOR(for projects not requiring an ElY Form) , � "4aV( "
Received Time Mar. 25. 2013 1 : 57PM No. 2600