HomeMy WebLinkAbout0154877-HVAC (furnace) � CITY OF OSHKOSH No 154877
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER :
Job Address 353 W 8TH AVE Owner DANIEL C KINDERMAN Create Date 03/28/2013
Contractor MARK WEBER HEATING&COOLING IN� Category 500-Residential-Heating&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 1
Chimney Type Chimney A 0 Chimney B � Direct Vent � Not Applicable �
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other � Value
UselNature FR/REPLACE FURNACE,ELECTRICIAN IS SECKAR ELECTRIC ""debit acct �
of Work �
—i
Fees: Valuation $1,700.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: ��l Date 03/28/2013
� Permit Voided I Parcel Id#0902990000
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.
0�/28/2013 06:50 FAg f�001
City of Oslilcosh
�ivision of Inspection Seitiices �
P.O, Box 1130 �
Oshkosh, WI5490:�-1130
Phone(920)23G-5050
Fax (920)236-5084 HKO H
UN'1'ME WATER
HVAC PERMIT APPLICATION
All informetion after bold categories must bo provided.
Incomplcte applications will not be pmcessed. �
� Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Serviccs,PO Box 112F
� Oshkvsh WI 54903-1128. Comtnencing work without permit(s)will res�ilt in fees beinb doublcd ar$100.40 pl
normal pennil fee,wllich ever is greater.
O�t
If voe� are a co7�{�a !or n�•!/c in in th� Perrnr! Ce Accounl S�slen� v de tra[e vn c
i �ou i��an t ois rvice �� rl�rnu h �our acco r
**Advisory-For applicable prujects, an Etectrical xnstallar3on Verification(EIV)form,signed by the Elec
Contrartor or Iiomeowner(for installations allowed to be pexformed by the homeowner)xnugt be snbrnittc
with the perrnit applicarion. Applicacions subnnitted without an EN whe�n such is reqaired, will not be
pxocessed fox Pemut Issnance and will be retumed�or completion.
DATE � /�� l .,�,_,_.,
rOB AAARE5S��� � (�/ ��
QWNER _—� ��►J �.���"t�''��r. :
CONTRACTOR .�
C�iECK�ALL APPLICAB�E '
US�CATEGORX
�iugle Fainily ❑Duplex ❑Multi-ramily ❑Rental QCommercial I�Industrial
FUEL �Ca� ❑Electric ❑Solid SYSTEM QNew �place
❑Oil CaSoLar � ❑Other��.�
•rYr�
�areedAir �Radiant ❑Steant ❑A/C ❑VenC �Llectric ❑Hot Water ❑Suppl. ❑Con.Burner
IS C�NEY IlEING L1NED �10 I�Xes -LINER SLZE &MANUFACTUItER
Note:All chu�eys shall be sized per the BTU's being ven�ed, .
CHIMNEY TYPE �Cliimnoy A QChimncy B ClDirect Vent ❑Otlter
HEAT LOSS ❑As Approved C]Ex�sting ❑Not Applicablc
. BTYJ RATE �As k'er Plan DVariablc ❑Other Value
DE TION/SCOP�OF ALL W0�2K BEIl�iG DONE �� �'
�
'�ALUE (Inciuding labor and materiala)� � �vd�D�
ELECTRTCAL CONTRAC'lO�t(for projects nat rcyuiring a►t�IV Furm),� �7' 1�i91�.