HomeMy WebLinkAbout2013-HVAC (furnace) el) CITY OF OSHKOSH No 155027
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1920 WALNUT ST Owner MELVIN/JOANN KLINGER Create Date 04/12/2013
Contractor MARK WEBER HEATING&COOLING IN Category 500-Residential-Heating&Ventilating Plan _
Inspector John Zarate
Fuel U Gas J Oil E Electric 0 Solar i p Solid
System 0 New 0 Replace ❑ Other
u Forced Air Radiant Jj Steam ElkiC Li Vent
U Electric ETHot Water 1 0 Suppl. [Con. Burner J
Chimney Type ChimneyA O Chimney B • Direct Vent O Not Applicable J
Heat Loss O As Approved O Existing • Not Applicable Value
BTU Rate LI As Per Plan O Variable • Other Value
Use/Nature SFR/REPLACE EXISTING 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 04/12/2013
El Permit Voided I Parcel Id#1221110000
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.
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)_ �_L -
04/11/2013 16:19 FAX [ 1001
City of Oshkosh
Division of Inspection Services
P.O.Box 1130
Oshkosh, WI 54903-1130
Phone(920)236-5050 J HK Of f�
Fax (920)236-5084
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 he 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 your area contractor antt i at - in the Permit ee Accou ' ten ,nd have deg ate fir►7 .c. check
if you want this vr•oce.c.ced 1 rou h„your acWunt gl
**Advisory-For applicable projects, an Electrical Installation Verification(EXV)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.
DATE Wit/ 3
JOB ADDRESS l 12O c&� �CksEi _
OWNER Adt.it • .
CONTRACTOR 7AJ6 w—
CHECK Ql ALL APPLICABLE
USE CATEGORY
RiSingle Family ❑Duplex ❑Multi-Farnily 0Rental °Commercial °Industrial
•
FUEL Las ❑Electric 0 Solid SYSTEMalew °Replace
0011 °Solar . ❑Other
=zed Air ❑Radiant QSteam CI A/C °Vent ❑Electric ❑Hot Water 0Suppl. ❑Con.Burner
IS CHIMNEY BEING LINED igislarlYes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B filtirect Vent ❑Other
HEAT LOSS DAs Approved °Existing ONot Applicable
BTU RATE ❑As Per Plan °Variable DOther Value
—
DES ' TION/SCOPE OF ALL WORK BEING DONE C. r"�� ` &G
VALUE (Including labor and materials) 5oa' 00
ELECTRICAL CONTRACTOR(for projects not requiring an ELY Forsu) ----