HomeMy WebLinkAbout0154888-HVAC (furnace) � CITY OF OSHKOSH No 154888
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2131 2133 WISCONSIN ST Owner SIDNEY/CHARLOTT B RICHMAN REV TRl Create Date 04/01/2013
Contractor MARK WEBER HEATING&COOLING IN� Category 500-Residential-Heating 8 Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar Solid
System � New � �✓ Replace i Other _ �
✓ Forced Air Radiant Stea� �PJC Vent ;'
_ �- _ -
Electric ; Hot Water � Suppl. Con. Bumer
- —� � --
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable ��,
Heat Loss As Approved � Existing � Not Applicable � Value
BTU Rate As Per Plan 0 Variable � Other Value
Use/Nature DUPLEX(2133)/REPLACE EXISITNG FURNACE,ELECTRICIAN IS SECKAR ELECTRIC '"`debit acct
of Work '�
I II
I
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Fees: Valuation _ 1,800.00 Plan Approval _ $0.00 Permit Fee Paid $46.00
Issued By: Date �4/�1/2�13
❑ Permit Voided I Parcel Id#1220850000
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 performed within two business days from the time the project is ready.
03/90/2013 21:18 FA% f�001
Ciry af Oshkosh
nivision of Inspection Services �
A.O. Box 1130 �
Oal�kosb, WI54903-(130
Phone(920)236-5050
Fax (920)236-5084 �O
�TNE WNTER
HVAC PERMIT APPLICATION
All informetion aRex bold cetegories must be providecl.
Incomplete epplicatioc�s wi11 not be pracessed.
• Applica[ion(s)and fee(s)cen be brou�ht to City Hall,Room 205 or mailed to Inspection Services,PO Box 1 l2�
Oshkosli WI 54903-1128. Commcncin�;work withouC permit(s)will result in fees bc:ing doubled or$140.04 pl
normal permit!'ee,which ever is�eater.
OR
l ou re a c0�ztraclo►' arfici pli r� lhe Pe!' ee Accut�n! S�s1a�i i�d l�ave p uale und check
j �ezi wanl /lzis ��'oC�.�ed lhrQtipl� voui• pCCOt�►Z1
**Advisory^For applicable�rojects, ax�Electrical Xnstallation Verif cation(E�V)form, si$ned by the Elec
Cantxactor or Homeowner(for iu�stallations allowed to be performed by the bomeowner)must be submi�tte
with the permit applicatxon. Applications submitted without an�1'V when snch i�required, will not be
processed for Permit Issuanee and will be retamed for compleNan. :
DATE;��i�L /
JOB ADD�tESS `�� � � � C °� �
OVVNER �
CONTRA.CTO�t_. � . LV-�� ___
CHECK�ALL APPLY.CABI.E
USE CATEGORY
❑Single Family �uplex ❑Multi-Family f�Rental ❑Commerci�l ❑Tndust�ial
FUEL �as ❑Electric ❑Solid SYSTEIVX ONew ����
�Oil DSolax � ❑Otlter
TYYE
�:ced pu �Radianl ❑Steam ❑A/C ❑Vent ❑Eleet��ic OWot Watec L7Supp1. ❑Cox�.Burner
�S �g��y ���NG LINED�to.�'Y'es -LINFR SIZE &MANUFACTURLR
Note:All chimneys shall be sized per the�'1'U's bcing vented.
C�IINIlVEY'fXPE ClChimney A "himney B ODirect Vent �Otlier
�IEAT x.OSS ❑As Approved ❑Existing dNot Applicablc
BTU RA.TE ❑As Per Plan ClVariable ❑Uther Value
D T�ON/SGOPE OF ALL'WORK BEING DONE �
�,:.�..� t��3 � ..�— -
VALUE(Tncluding labor aud materials)���- �J
EY,ECTRlCAI.CONT�tACTOR(for prujects not requiring an�1V Forrn)��QQ�,