HomeMy WebLinkAbout0154879-HVAC (furnace) � CITY OF OSHKOSH No �5as7s .
OSHKOSH HVAC PERMIT -APPUCATION AND RECORD
ON THE WATER
Job Address 938 CONCORDIAAVE Owner SUSAN A WENTZEK/SHELLEY M LARSOI Create Date 03/28/2013
Contractor MARK WEBER HEATING&COOLING IN� Category 500-Residential-Heating 8�Ventilating Plan
Inspector Nicole Krahn
Fuel ✓ Gas Oil—� Electric Solar �] Solid
System ❑ New �✓ Replace ' [] Other '
✓ Forced Air Radiant Steam A/C ' Vent �'
Electric Hot Water Suppl. Con. Burner i
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable �
HeatLoss AsApproved � Existing � NotApplicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature FR/REPLACE FURNACE, ELECTRICIAN IS SECKAR ELECTRIC *'debit acct
of Work ,
'��, !
j
I
I
J
Fees: Valuation 2,500.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: (J f ► 1 Date 03/28/2013
❑ Permit Voided ! Parcel Id#1306980100
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.
03/28/201a 11:45 FAg ��U12
09/2S/201� 08:5A FAX
City of Oshkosh �
Divieiou of Inspaction Servlces
P.O,Box 1130 �
Othkosh, WI 54903-t 130
Phone(920)236-5050 u
Fax (920)236-5084 I 1
WATE
� MVAC PEI�MIT APPLICATION
�#Il iaformacion eftot bold categoriee lnuet be,provlded, ,
. InoompJete epplic�tior►s wtll no!ba proc��s�d.
• Application(s)nnd fe.�(s)can b��rought to Clty ITa11,Room 205 or mAiled t�inRpcotion Services,PO Dox 112E
' Oshkosh WI 54903-1128. Co,ninencin�work witFio�rt peimi�(s)will resalt in fec�baing doubled or 5100.00 pl
narmal permit fee,which ovcr is,greater.
�[,)� ar� a c
O� r p •li ' !�r � .9c� �rn/ S�� a�rd ha , ►s
�f��ou u Is proc�saed.�hroLrh n:�r a � r I
�*Advisary-For appl�eable projects� an Electrica]InFtallation Yeriticatio�s(E�forn1�6iY,�aed by the Elet
Contractor or Homcownet((or i»stallation�allowcd to be poxformed by the homcowner)muet bc subinitte
wiih rthc��t aPP�icstfon. Applic�tio�t�s submittod wfthout An EIV wh�n 6ach is requlr�d, �+vi11 not be
processed for Pe�mit Xssuanco�nd will be rctarned foz com�letiion. �
m
��g DAT�
.�OB ADDRESS �
OWNE .
CONTRA,CTOR �� . , .
c�c��t aL�aprLxc�L�
� USE CAT�GORY
�fSingl�Family O�upl�x �Multi-Fam�ly �Rental C]Commc��cial ❑Yndustrlal
OElectric QSolid SYSTEIV� �New �place
�'[TEL ,�.ae ' ' ❑Othor,�.—._.
pOil �801��
TXPE
�
oroed Atr ORadiant �Steem DA/C ❑Vent ❑Electric OHot Water ❑SuppJ. OCon.Bumer
IS CH�MNEY AEllVG L�D�S`To,QYns -LINER SlGE &MANLTFACTU�tLR
Note:All chimneys ahall b0 aized per the�TU's be�ng vnnted.
CI�NEY xyPE OCl�im»oy A L7Chimnry B ��ct Vent ❑Ot6�r
HEA,'�T.•OSS OAa Approv�d �Exiatiiig QNot Applicablo
BTCJ RAT� QA91'0r 1'�an ❑Varieble DOthor Val��e
' 1 � lo
A �TI0�1!SCOPE OF.4LL'WORZCBEX�iCy DONE
4 �
/ ,
VAIrULr (Includln�Irbor and matcrlals)�.
a ,O�
ELG�CTitICAL CON'CRAC'I�OA(for pro,�ocn not requlrtn�en ��V Foriu) �` .
Received Yime Ma�. 25, 2013 6:50AM No, 2598