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Home My WebLink About0155262 - HVAC (furnace) I CITY OF OSHKOSH No 155262 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1816 ASHLAND ST Owner JOREL K KRAUSE Create Date 04/2.6/2013 Contractor BLACK-HAAK HEATING _ Category 500-Residential-Heating&Ventilating Plan Inspector John Zarate Fuel 0 Gas Li Oil —I J Electric Solar J aSolid System ❑ New J H Replace ❑ Other JI ✓j Forced Air J Radiant ❑ Steam ETA/C H Vent Li Electric J Hot Water L Suppl. [Con. Burner 1 Chimney Type 0—Chimney A O Chimney B 0 Direct Vent 0 Not Applicable ' Heat Loss As Approved O Existing • Not Applicable Value BTU Rate a, As Per Plan O Variable • Other Value Use/Nature SFR/REPLACE FURNACE,ELECTRICIAN IS ALVIN RUSCH WITH BLACK-HAAK HEATING "check#4662 of Work Fees: Valuation $2,900.00 Plan Approval $0.00 Permit Fee Paid $62.00 Issued By: O 1 Date 04/26/2013 ❑ Permit Voided Parcel Id#1503080000 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 PO BOX 7075 APPLETON WI 54912 -7075 Telephone Number 920-757-9990 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. City v o Oshkosh Division o Inspection of nspection Services P.O. Box 1130 Oshkosh, WI 54903-i 130 Phone(920)236-5050 o�I i\O�I I Fax (920)236-5084 I \'ATFR 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 54903-1 128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee, which ever is greater. If von are a contractor ctor participating in the Permit fee account System and have adequate funds. check here if you want this processed through your account ** Advisory- For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. DATE )1-671/-/3 JOB ADDRESS Mit, lijh l ail [�/ OWNER ()Dal Kral SL CONTRACTOR 121afJL- Pay k(. Jeajt/(7 CHECK 10 ALL APPLICABLE USE,.CATEGORY a<ingle Family ❑Duplex ❑Multi-Family DRental ❑Commercial ❑Industrial FUEL as DElectric ❑Solid SYSTEM ❑New DReplace ❑Oil ❑Solar DOther TY C orced Air DRadiant ❑Stteeamm DA/C ❑Vent DElectric DHot Water ❑Suppl. ❑Con. Burner IS CHIMNEY BEING LINED Lr�'No ❑Yes - LINER SIZE & MANUFACTURER, Note:All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE DChimney A ❑Chimney B ❑Direct Vent DOther HEAT LOSS DAs Approved ElExisting ❑Not Applicable BTU RATE ❑As Per Plan ❑Variable DOther Value DESCRIPTION / SCOPE OF ALL WORK BEING DONE Rests vrlia t -Putcrnfiev vo placerr it co VALUE (Including labor and materials)$ A 900. ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) ill CYJ 4,5ch 649-/0 40 Arm'f 1Qe to City of Oshkosh Division of Inspection Services P.O.Box Oshkosh,WI WI 54903-1130 (1111-17)11" Phone(920)236-5050 Fax (920)236-5084 \...JJ._K(� /'_ ON THE WA✓TFFR ELECTRICAL 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$100.00 plus the normal permit fee,which ever is greater. OR If you are a contractor participating in the Permit Fee Account System and have adequate funds. check here if you want this processed through your account ❑ DATE -aV- JOB ADDRESS /8l( 1(s`j' ci OWNER JavQ.i K i`. / CONTRACTOR (�O C- llaa l`/C�(��J, , 144e - CHECK 0 ALL APPLICABLE USX CATEGORY Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial SERVICE DNew ❑--,N T,,emporary TYPE ❑Overhead ®Applicable ❑Change Yd t Applicable DUnderground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles# Circuits# Phase Amps Switches# Fixtures# CHECK Q ALL APPLICABLE ❑Range ❑Dishwasher ❑Garbage Disposal DDryer DWater Heater ❑Fan OR Blower Erfurnace ❑A/C DElectric Sign ❑Motors ❑Gas Pumps ❑Other DESCRIPTION OF ALL WORK BEING DONE w•r�n5 -- vnac.P 4Yom ref lacernet co VALUE (Including labor and all materials including light fixtures)$ MASTER ELECTRICIAN fil L i h GGS Gf (1,d4 O3// ,Q 71 4 Fe - 3/02