HomeMy WebLinkAbout0155025 - HVAC (furnace) 0 CITY OF OSHKOSH No 155025
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1910 EVANS ST Owner CHARLES A/MARILYN J PERRY Create Date 04/12/2013
Contractor MARK WEBER HEATING&COOLING IN Category 510-Ind.&Comm-Heating&Ventilating Plan
Inspector John Zarate
Fuel j Gas Oil 1 Electric [] Solar Li Solid
System ❑ New ✓ Replace n Other
✓j Forced Air J Radiant FrSieam ❑ NC U Vent
l Electric Hot Water Suppl. Li Con. Burner
Chimney Type 0 Chimney A • Chimney B 0 Direct Vent 0 Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other 1 Value
Use/Nature COMM(2019 GROVE ST-APT#1,2,3,4)/REPLACE 4 EXISTING FURNACES,ELECTRICIAN IS SECKAR ELECTRIC **debit
of Work acct
Fees: Valuation $8,800.00 Plan Approval $0.00 Permit Fee Paid $158_00
Issued By: C✓ J (J. Date 04/12/2013
❑ Permit Voided Parcel Id#1514819706
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.
04/12/2013 11:01 FAX Z001
City of Oshkosh
Division of inspection Services
P.O.Box 1130
Oshkosh, WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 allal]
ON THE WATER
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 1128,
Oshkosh WI 54903-1128. Commencing work without perinit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR •
If you are a contractor particiDQtin2 in the Permit I e AcC_Ount System and have adequate funds. Check here
i , . we t ' rocessed throw f h our account VA
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
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.
i M iU i -.CS - DATE '2/7--//
JOB ADDRESS 6 i l .)an ti-e— A471 I R i 3, L I
OWNER Cam. 06` �
CONTRACTOR/74111/
•
CHECK®ALL APPLICABLE
USE CATEGORY
ElSingle Family I1Duplex Multi-Family ^ntal ❑Commercial ❑Industrial
FUEL as . DElectric ❑Solid SYSTEM ONew replace
❑Oil ❑Solar ❑Other
TYPE
Feed Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. neon. Burner
IS CHIMNEY BEING LINEf> o DYes -LINER SIZE_ &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A NChimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved ❑Existing DNot Applicable
BTU RATE DAs Per Plan ❑Variable DOther Value t377t/ C
DESCRIPTION/SCOPE OF ALL WORK BEING DONE UC there. C`kJ C. 4 +✓+4e. 5
VALUE (Including labdr and materials) $ S U 60 , C)0_
ELECTRICAL CONTRACTOR(for projects not requiring an Ely Form) 5 .L1011\
07/07