HomeMy WebLinkAbout01585173 - HVAC (furnace) CITY OF OSHKOSH No 155173
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2120 BOWEN ST Owner CHARLES A/MARILYN J PERRY Create Date 04/22/2013
Contractor MARK WEBER HEATING&COOLING IN Category 510-Ind.&Comm-Heating&Ventilating Plan
Inspector John Zarate
Fuel u Gas Li Oil �' EL Electric J J Solar j Solid
System ❑ New 71 Replace J Other
U Forced Air u Radiant J Steam J A/C ErVent
Li Electric j Hot Water Suppl. Li Con. Burner
Chimney Type O Chimney A • Chimney B 0 Direct Vent O Not Applicable
Heat Loss 0 As Approved O Existing • Not Applicable Value
p As Per Plan 0 Variable • Other Value
BTU Rate
Use/Nature MULTI-FAMILY(APT#3)/REPLACE EXISTING FURNACE, ELECTRICIAN IS SECKAR ELECTRIC '"debit acct
of Work
Fees: Valuation $2,300.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By:JYY1L,—) Date 04/22/2013
E Permit Voided Parcel Id#1522830000
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.
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07/07
04/22/2013 07:39 FAX 0 002
City of Oshkosh
Division of Inspection Services
P.O.Box 1130
Oshkosh, WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 Of-,<Of H
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 permit(s)will result in fees being doubled or$100,00 plus the
normal permit fee, which ever is greater.
OR
I oft area contract. •rtici iatin- in the Permit ee A ,nt S•stem and have ade.uat c eck here
if you want this processed through
y r cccuat
**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.
DATE �/7�1
JOB ADDRESS 7 1 J D V C�t J A r3
owNE�� -P '= COQ >
CONTRACTOR
•
•
CHECK 0 ALL APPLICABLE
USE CATEGORY •
❑Single Family ODuplex ,Multi-Family Rental ❑Commercial Olndustri al
FUEL Zr.9.as ' ❑Electric ❑Solid SYSTEM DNew ,place
❑Oil ❑Solar ❑Other
TYPE
,Zorced Air DRadiant OSteam CIA/C ❑Vent DElectric ❑Hot Water DSuppl. °Con.Burner
IS CHIMNEY BEING LINE.) Vo ❑Yes -LINER SIZE &MANUFACTURER.
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A jZChimney B ❑Direct Vent ❑Other
HEAT LOSS DAs Approved DExisting ONot Applicable
•
BTU RATE DAs Per Plan ❑Variable DOther Value
DESC TION/SCOPE OF ALL WORK BEING DONE �� ,,�.. ,:>rrgifi .
k-211/h1/A..-{S A 49,1 O
VALUE(Including labor and materials) $
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07